Richard R Beesley, MD
Individual provider Active NPI Pediatrics Physician · Estes Park, CO
NPI 1790770295 · NPPES record last updated Apr 21, 2011
Key facts
- NPI
- 1790770295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 40219 (CO)
- Practice address
- 555 Prospect Ave
Estes Park, CO 80517-6312 - Phone
- (970) 586-2200
- Fax
- (970) 586-9096
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 40219 | CO | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 40219 | CO | Yes |
Addresses
Primary practice location
555 Prospect Ave
Estes Park, CO 80517-6312
Mailing address
555 Prospect Ave
Estes Park, CO 80517-6312
Phone (970) 586-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27831761 | Medicaid | CO |
Other providers in Estes Park, CO
- Aspen Grove Counseling, LLC
- Elizabeth Anne Baier
- Bailey Chiropractic & Acupuncture
- Cherri Bailey
- Greg King Barton
- Michael Bemis
- Zachary Blea
- Bockelmann Chiropractic
- Scott A Bockelmann
- Jill Marie Bodensteiner
All providers in Estes Park, CO · Pediatrics Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2011. 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.