Mary Jo Beason, MS
Individual provider Active NPI Audiologist · Saint Louis, MO
NPI 1780846196 · NPPES record last updated Jun 26, 2008
Key facts
- NPI
- 1780846196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 2011 (MO)
- Practice address
- 2355 Dougherty Ferry Rd
Suite 430
Saint Louis, MO 63122-3325 - Phone
- (314) 821-5002
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Plastic Surgery PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2011 | MO | Yes |
Addresses
Primary practice location
2355 Dougherty Ferry Rd
Suite 430
Saint Louis, MO 63122-3325
Mailing address
2355 Dougherty Ferry Rd
Suite 430
Saint Louis, MO 63122-3325
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2008. 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.