NPIMap

Organization Active NPI

John R. Beyer, D. O., PLLC

  • Psychiatry Physician
  • Holland, MI
National Provider Identifier
1578833695
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101007889 Issued in MI
Legal business name
JOHN R. BEYER, D. O., PLLC
Practice address
44 E 8TH St
Suite 200
Holland, MI 49423-3575
Phone
(616) 928-0034
Fax
(616) 928-0036
NPI assigned
Jan 5, 2012
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
John R Beyer, D. O.NPI 1467502856
Title
Provider
Phone
(616) 928-0034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101007889 MI Primary

Addresses

Primary practice location

44 E 8TH St
Suite 200
Holland, MI 49423-3575

Mailing address

44 E 8TH St
Suite 200
Holland, MI 49423-3575
Phone (616) 928-0034

Other identifiers 1

IdentifierTypeStateIssuer
5700101OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

44 E 8th St
Ste 200
Holland, MI 49423
Phone (616) 928-0034

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1578833695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E 8TH ST",
            "address_2": "SUITE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233575",
            "telephone_number": "616-928-0034",
            "fax_number": "616-928-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E 8TH ST",
            "address_2": "SUITE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233575",
            "telephone_number": "616-928-0034",
            "fax_number": "616-928-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. BEYER, D. O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "616-928-0034",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101007889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5700101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.