Jacques D. Beveridge MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

6275A Issued in WY

Legal business name

JACQUES D. BEVERIDGE MD

Practice address

1460 Main St
Suite B
Lander, WY 82520-2657

Phone

(307) 332-2223

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jacques D Beveridge, MD

Title

President

Phone

(307) 332-2223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1669426292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 MAIN ST",
            "address_2": "SUITE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202657",
            "telephone_number": "307-332-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MAIN ST",
            "address_2": "SUITE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202657",
            "telephone_number": "307-332-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES D. BEVERIDGE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "BEVERIDGE",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-332-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "6275A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Lee Hunter, LAC
• James Hutchison, P.A.
• Vince C Irene, D.C.
• Taylor Jacobs, M.S., BCBA
• Hart Jacobsen, M.D.
• Jacques D. Beveridge MD, Inc.
• Cristina Jensen, LPC
• Sue Jezek
• Hollie Johnson, FNP-C
• Kelly Johnson, LCSW

• Obstetrics & Gynecology Physician in Lander, WY
• Providers in Lander, WY by specialty
• Obstetrics & Gynecology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.