Earl Beaupied, MD
Individual provider Active NPI Emergency Medicine Physician · Marion, IN
NPI 1669419909 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1669419909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01067721A (IN)
- Practice address
- 441 N Wabash Ave
Marion, IN 46952-2612 - Phone
- (765) 660-6900
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067721A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edmonds Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine of Indiana | Emergency Medicine | Past | Accepting new patients |
| Cep America LLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01067721A | IN | Yes |
Addresses
Primary practice location
441 N Wabash Ave
Marion, IN 46952-2612
Mailing address
PO Box 34936
Dept 3028
Seattle, WA 98124-1936
Phone (888) 398-2473
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200962580 | Medicaid | IN | |
| 000001226776 | Other | IN | ANTHEM |
Other providers in Marion, IN
- Jonelle Marie Bausch
- Danielle N Baxter
- Tonya Bayes
- Krista Marie Beal
- Lisa Ann Beals
- William Edwin Beck
- Jenny Beher
- Alan Devon Belcher
- Jayda Bell
- Paula Bell
All providers in Marion, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.