C Patrick Beatty, M.D.
Individual provider Active NPI Anesthesiology Physician · Prescott, AZ
NPI 1760488704 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1760488704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 16688 (AZ)
- Practice address
- 1003 Willow Creek Rd
Prescott, AZ 86301-1641 - Phone
- (602) 273-6770
- Fax
- (602) 889-0489
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16688 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Anesthesia PLLC | Anesthesiology | Past | Accepting new patients |
| C Patrick Beatty MD PC | Anesthesiology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 16688 | AZ | Yes |
Addresses
Primary practice location
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Mailing address
PO Box 29211
Phoenix, AZ 85038-9211
Phone (602) 273-6770
Other providers in Prescott, AZ
- McKenna L Baxter
- Stephen Baxter
- Bayada Home Health Care, Inc.
- BBC Scottsdale LLC
- Jacob Lee Bean
- Daniel J Beck
- Patricia E Beck
- Karyn Marie Bee
- Constanza Beebe
- Mary Ann Bell
All providers in Prescott, AZ · Anesthesiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.