Organization Active NPI

Stephen P. Beals M.D., P.C.

  • Plastic Surgery Physician
  • Paradise Valley, AZ
National Provider Identifier
1730359175
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
15290 Issued in AZ
Legal business name
STEPHEN P. BEALS M.D., P.C.
Practice address
5410 N Scottsdale Rd
Suite E-400
Paradise Valley, AZ 85253-5927
Phone
(480) 947-6788
Fax
(602) 926-2597
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Stephen P Beals, M.D.NPI 1134179336
Title
Physician/Surgeon
Phone
(480) 947-6788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 15290 AZ Primary

Addresses

Primary practice location

5410 N Scottsdale Rd
Suite E-400
Paradise Valley, AZ 85253-5927

Mailing address

5410 N Scottsdale Rd
Suite E-400
Paradise Valley, AZ 85253-5927
Phone (480) 947-6788

Other identifiers 1

IdentifierTypeStateIssuer
251835MedicaidAZ

National Provider Directory

National Provider Directory

Locations

5410 N Scottsdale Rd
Ste E400
Scottsdale, AZ 85253
Phone (480) 947-6788

Practitioners & affiliated clinicians

Practitioners 1

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1730359175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE E-400",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-947-6788",
            "fax_number": "602-926-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD",
            "address_2": "SUITE E-400",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-947-6788",
            "fax_number": "602-926-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P. BEALS M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "BEALS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "480-947-6788",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "15290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251835",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.