Active NPI
June Elizabeth Beamer, MD
- Dermatology Physician
- Winnsboro, TX
National Provider Identifier
1639232952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- N7679
- Practice address
- 719 W Coke Rd
Building 3 Suite 3
Winnsboro, TX 75494-3011 - Phone
- (903) 342-3376
- Fax
- (903) 342-3373
- NPI assigned
- Dec 18, 2006
- Last updated
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G18677 | CA | |
| Dermatology Physician | 207N00000X | N7679 | TX | Primary |
Addresses
Primary practice location
719 W Coke Rd
Building 3 Suite 3
Winnsboro, TX 75494-3011
Mailing address
719 W Coke Rd
Building 3 Suite 3
Winnsboro, TX 75494-3011
Phone (903) 342-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18677 | CA | MD | Dermatology Physician |
| 18677 | CA | MD | Emergency Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Winnsboro, TX
- NPI 1750797536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1639232952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 W COKE RD",
"address_2": "BUILDING 3 SUITE 3",
"city": "WINNSBORO",
"state": "TX",
"postal_code": "754943011",
"telephone_number": "903-342-3376",
"fax_number": "903-342-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 W COKE RD",
"address_2": "BUILDING 3 SUITE 3",
"city": "WINNSBORO",
"state": "TX",
"postal_code": "754943011",
"telephone_number": "903-342-3376",
"fax_number": "903-342-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMER",
"first_name": "JUNE",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G18677",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "N7679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winnsboro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.