Claude Theodore Beitler III, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50004227 Issued in OH

Practice address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031

Phone

(419) 294-4991

Fax

(419) 294-2233

NPI assigned

Dec 30, 2014

Last updated

Dec 15, 2020By the provider in NPPES

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbeitler805764@direct.bsmhealth.org

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.

• Wyandot Memorial Hospital

  • Critical Access Hospital
  • Upper Sandusky, OH
  • NPI 1477554475
  Medicare reassignment Care Compare group NPD
• Wyandot Memorial Hospital

  dba Wyandot Medical Providers at Carey

  • Rural Health Clinic/Center
  • Carey, OH
  • NPI 1659014728
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Wyandot Memorial Hospital

  dba Wyandot Medical Providers at Sycamore

  • Rural Health Clinic/Center
  • Sycamore, OH
  • NPI 1275033011
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wyandot Memorial Hospital

  • Critical Access Hospital
  • Upper Sandusky, OH
  • NPI 1477554475
  Care Compare affiliation

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1790173789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITLER",
        "first_name": "CLAUDE",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50004227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbeitler805764@direct.mercy.com",
            "affiliation": "N",
            "address_1": "885 N Sandusky Ave",
            "city": "Upper Sandusky",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433511031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David A Balz, PA-C
• Kimberley Renee Barnes, O.D.
• Robert L Barrett, M.D.
• Bay View Inpatient Services LLC
• Claude T Beitler, DDS
• Kara Bender
• Pamela Bibler
• Gregory Bishop
• Danielle Rene Bouillon
• Kathleen H Bramel

• Physician Assistant in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.