Marie N Beauvoir, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S1764 Issued in TX

Practice address

3811 N US Highway 75
Sherman, TX 75090-2580

Phone

(903) 487-0477

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home Physicians PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1811998438
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1548392293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 PROSPER COMMONS BLVD STE 108",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781419",
            "telephone_number": "847-477-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N US HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902580",
            "telephone_number": "903-487-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 W Fulton St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122365",
            "country_code": "US",
            "telephone_number": "773-342-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUVOIR",
        "first_name": "MARIE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "33359",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-112594",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-112594",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S1764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "S1764",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "33359",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PHY",
            "identifier": "36-112594",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Rayne Baugh
• BCW Group LLC (Focus Medical Supply)
• Christopher Louis Bean, D.D.S.
• Cody Neal Beard
• Erika Beard
• Anthony Bret Beaverson, M.D.
• Jamie Beckett, FNP
• Behavioral Concepts, Inc.
• Bella Fontana Spa, LTD.
• Amanda Bennett, RN

• Family Medicine Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.