Active NPI
Amy S Beck, MD
- Pediatrics Physician
- Hastings, MI
National Provider Identifier
1740244144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301073209
- Practice address
- 1375 W Green St
Hastings, MI 49058-1718 - Phone
- (269) 818-0070
- Fax
- (269) 818-0044
- NPI assigned
- Apr 13, 2006
- Last updated
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301073209 | MI | Primary |
Addresses
Primary practice location
1375 W Green St
Hastings, MI 49058-1718
Mailing address
1375 W Green St
Hastings, MI 49058-1718
Phone (269) 818-0070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3500800162 | Other | MI | BCBS |
| 3498324 | Medicaid | MI | |
| 4301073209 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301073209 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Start Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHGIAA/Endpoint/JHGIAA
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Hastings, MI
- NPI 1346361276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1740244144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 W GREEN ST",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581718",
"telephone_number": "269-818-0070",
"fax_number": "269-818-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 W GREEN ST",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581718",
"telephone_number": "269-818-0070",
"fax_number": "269-818-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "AMY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301073209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3500800162",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3498324",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4301073209",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.