Active NPI
Michael Edward Beane, MD
- Family Medicine Physician
- Vienna, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19118
- Practice address
- 1500 Grand Central Ave
Vienna, WV 26105-1079 - Phone
- (304) 485-3627
- Fax
- (304) 295-2315
- NPI assigned
- Jul 21, 2005
- Last updated
- Jun 15, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19118 | WV | Primary |
| Family Medicine Physician | 207Q00000X | 35073683 | OH |
Addresses
Primary practice location
1500 Grand Central Ave
Vienna, WV 26105-1079
Mailing address
2 Merrywood LN
Vienna, WV 26105-9488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048235000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Fergueson Dr
Parkersburg, WV 26101-6678
Phone (304) 949-8536
418 Colegate Dr
Marietta, OH 45750-9549
Phone (740) 374-8730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35073683 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Spero Health of Ohio, LLC | Current | Accepting new patients | |
| Spero Health of West Virginia, LLC | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Locations
1493 S Arlington St
Akron, OH 44306
Phone (234) 274-5827
418 Colegate Dr
Marietta, OH 45750
Phone (740) 236-9047
155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
95 Rosebud Plz
Ste 104
Clarksburg, WV 26301
Phone (304) 212-7482
2 Fergueson Dr
Parkersburg, WV 26101
Phone (304) 949-8536
Interoperability endpoints
- mbeane20594@gohealthupmc.direct-ci.com
Organizations & group practices 6
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.
-
- Addiction Medicine (Family Medicine) Physician
- Clarksburg, WV
- NPI 1659949055
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Zanesville, OH
- NPI 1346748563
-
dba MedExpress Urgent Care - Bluefield
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
Family Medicine
-
- Urgent Care Clinic/Center
- South Charleston, WV
- NPI 1912133315
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
Family Medicine
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1669471561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MERRYWOOD LN",
"city": "VIENNA",
"state": "WV",
"postal_code": "261059488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 GRAND CENTRAL AVE",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051079",
"telephone_number": "304-485-3627",
"fax_number": "304-295-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEANE",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "19118",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35073683",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0048235000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.