Elizabeth Beach
Individual provider Active NPI Pediatrics Physician · Indianapolis, IN
NPI 1689698185 · NPPES record last updated Oct 30, 2007
Key facts
- NPI
- 1689698185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01051050A (IN)
- Practice address
- 8150 Oaklandon Rd
Suite 130
Indianapolis, IN 46236-9525 - Phone
- (317) 823-4435
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01051050A | IN | Yes |
Addresses
Primary practice location
8150 Oaklandon Rd
Suite 130
Indianapolis, IN 46236-9525
Mailing address
8150 Oaklandon Rd
Suite 130
Indianapolis, IN 46236-9525
Phone (317) 823-4435
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200334520 | Medicaid | IN | |
| 000000359024 | Other | IN | ANTHEM |
Other providers in Indianapolis, IN
- BDD of Indiana P.C.
- BDG of in, Inc
- Be Authentic Indy LLC
- Be Seen, LLC
- Be There Home Care, LLC
- Matthew Beach
- Nicholas Andrew Beach
- Rhonda Beach
- Tessa Marie Beach
- Amanda Beache
All providers in Indianapolis, IN · Pediatrics 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 Oct 30, 2007. 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.