NPIMap

Organization Active NPI

Mohamed Hytham I Beck MD

  • Surgery Physician
  • Princeton, IN
National Provider Identifier
1699908087
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01062551A Issued in IN
Legal business name
MOHAMED HYTHAM I BECK MD
Practice address
121 N Hart St
Princeton, IN 47670-1045
Phone
(812) 385-5820
Fax
(812) 385-5826
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Mohamed Hytham I Beck
Title
Owner
Phone
(812) 385-5820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 01062551A IN Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 10001440A IN

Addresses

Primary practice location

121 N Hart St
Princeton, IN 47670-1045

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 2

IdentifierTypeStateIssuer
000000680103OtherINANTHEM
201025150MedicaidIN

National Provider Directory

National Provider Directory

Locations

121 N Hart St
Princeton, IN 47670
Phone (812) 385-5820

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1699908087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N HART ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701045",
            "telephone_number": "812-385-5820",
            "fax_number": "812-385-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED HYTHAM I BECK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "HYTHAM I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-385-5820"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01062551A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001440A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000680103",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201025150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.