Active NPI
Hailey Adison Beach, PA-C
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2411 W Belvedere Ave Ste 102
Baltimore, MD 21215-5217 - Phone
- (386) 341-9246
- NPI assigned
- Oct 3, 2023
- Last updated
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2411 W Belvedere Ave Ste 102
Baltimore, MD 21215-5217
Mailing address
3340 Antica St
Fort Myers, FL 33905-1500
Phone (386) 341-9246
Other practice location 1
3340 Antica St
Fort Myers, FL 33905-1500
Phone (386) 341-9246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2401 E Belvedere Ave
Baltimore, MD 21215-5216
2411 W Belvedere Ave
Baltimore, MD 21215-5217
2411 W Belvedere Ave 5TH Floor
Sinai Ophthalmology Associates
Baltimore, MD 21215-5217
Phone (410) 601-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Past | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
2411 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-8314
2411 W Belvedere Ave
Ste 102
Baltimore, MD 21215
Phone (386) 341-9246
Organizations & group practices 4
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.
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1376568998
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1710767272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 ANTICA ST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339051500",
"telephone_number": "386-341-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 W BELVEDERE AVE STE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155217",
"telephone_number": "386-341-9246"
}
],
"practiceLocations": [
{
"address_1": "3340 Antica St",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339051500",
"country_code": "US",
"telephone_number": "386-341-9246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEACH",
"first_name": "HAILEY",
"middle_name": "ADISON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Be More Occupational Therapy LLC
- Be-Live-It Therapy
- Be-Live-It Therapy LLC (Family Intervention Paartners)
- Be-Live-It Therapy LLC (Family Intervention Paartners)
- Be-Live-It Therapy LLC (Family Intervention Paartners)
- Lisa L. Beach, M.AC., L.AC.
- Mary Catherine Beach, M.D.
- Valerie Elizabeth Beach, DNP, CRNP, NNP-BC
- Valeriani R Bead, M.D.
- Chavoy Beadle
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.