Beacon Medical Group, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEACON MEDICAL GROUP, P.A.

Practice address

26744 John J Williams Hwy
Oak Orchard Prof Suites #3
Millsboro, DE 19966-4667

Phone

(302) 947-9767

Fax

(302) 947-9558

NPI assigned

Sep 11, 2006

Last updated

Feb 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey E Hawtof, MDNPI 1548235799

Title

Pres

Phone

(320) 947-9767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Longneck Family Practice, PA Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey E Hawtof, M.D.

  • Family Medicine Physician
  • Rehoboth Beach, DE
  • NPI 1548235799
  NPD Authorized official

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1689778714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26744 JOHN J WILLIAMS HWY",
            "address_2": "OAK ORCHARD PROF SUITES #3",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664645",
            "telephone_number": "302-947-9767",
            "fax_number": "302-947-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26744 JOHN J WILLIAMS HWY",
            "address_2": "OAK ORCHARD PROF SUITES #3",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664667",
            "telephone_number": "302-947-9767",
            "fax_number": "302-947-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "HAWTOF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "320-947-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001150402",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longneck Family Practice, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christopher William Baldt, DC
• Patricia J Balducci, LCSWC
• Barnes & Associates
• Geneva Yvonne Barnes, LPCMH, NCC
• Rosa C Barnes, LCSW, MSW
• Beebe Medical Center, Inc. (Beebe Home Health Agency)
• Bridget R Beebe, RPA-C
• James Kirkland Beebe, MD
• Benchmark Physical Therapy of Delaware LLC
• Charles Bruce Benton, RPH

• Family Medicine Physician in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.