John Johnson Beasley, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25079 Issued in KY

Practice address

132 Arbor Crest Dr
Mayfield, KY 42066-1233

Phone

(270) 247-8710

Fax

(270) 247-9564

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1740265156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ARBOR CREST DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661233",
            "telephone_number": "270-247-8710",
            "fax_number": "270-247-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ARBOR CREST DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661233",
            "telephone_number": "270-247-8710",
            "fax_number": "270-247-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "JOHN",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "25079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000059857",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300011148",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64250798",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Gail Barnett, PTA
• Donna Fay Barrix, LPCC
• Jimmelyn Battoe
• Lori Leigh Batts, ST LICENSED OPTICIAN
• Annette Darlene Beasley, M.D.
• Beck Mayfield Opco LLC
• Pavan Bejgum, M.D
• Brittany Belt, LCSW
• Christy Lee Benifield
• Puneet Bhatia, M.D.

• Diagnostic Radiology Physician in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.