Active NPI
Michelle L Beumer
- Pediatrics Physician
- Washington, MO
National Provider Identifier
1790781268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2002005319
- Practice address
- 851 E 5TH St
Ste 312
Washington, MO 63090-3130 - Phone
- (636) 390-9100
- Fax
- (636) 390-9109
- NPI assigned
- Jun 21, 2005
- Last updated
- Nov 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2002005319 | MO | Primary |
Addresses
Primary practice location
851 E 5TH St
Ste 312
Washington, MO 63090-3130
Mailing address
851 East Fifth Street
Ste 312
Washington, MO 63090
Phone (636) 390-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205840804 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002005319 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Past | Accepting new patients | |
| Michelle L. Beumer, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mbeumer@riversidepeds.opdirect.net
Organizations & group practices 2
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.
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1790781268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 EAST FIFTH STREET",
"address_2": "STE 312",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "63090",
"telephone_number": "636-390-9100",
"fax_number": "636-390-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E 5TH ST",
"address_2": "STE 312",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903130",
"telephone_number": "636-390-9100",
"fax_number": "636-390-9109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEUMER",
"first_name": "MICHELLE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2002005319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205840804",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.