Michael J. Beezley, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0415896 Issued in KS

Practice address

7420 Switzer
Shawnee, KS 66203-4550

Phone

(913) 262-9201

Fax

(913) 262-3170

NPI assigned

Aug 9, 2005

Reactivated

Mar 28, 2006

Last updated

Jan 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Vascular Surgery Associates, P.a.

  • Specialist
  • Shawnee, KS
  • NPI 1194812545
  Authorized official Same address or phone

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1730180217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SWITZER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034550",
            "telephone_number": "913-262-9201",
            "fax_number": "913-262-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 SWITZER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034550",
            "telephone_number": "913-262-9201",
            "fax_number": "913-262-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEZLEY",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-01-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "0415896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100201050A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Scott Beatty, OD
• Melanie M Beck, DDS
• Bethelem Wondimu Bedasso
• Jennifer Beech
• Ruth A Beezhold, MS CCC/SLP
• Behavioral Services of Johnson County, LLC
• Natasha Collette Belcher
• Emily Bell
• Amy Beneke, RN
• Kaylee Anne Bergman, DDS, MS

• Specialist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.