Individual provider Active NPI

Beatrice O Newell, M.D.

  • General Practice Physician
  • Stanton, KY
National Provider Identifier
1821011925
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23144 Issued in KY
Practice address
638 E College Ave
Suite B
Stanton, KY 40380-2363
Phone
(606) 318-3500
Fax
(606) 318-3503
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23144 KY Primary
Pediatrics Physician 208000000X 23144 KY

Addresses

Primary practice location

638 E College Ave
Suite B
Stanton, KY 40380-2363

Mailing address

638 E College Ave
Suite B
Stanton, KY 40380-2363
Phone (606) 318-3500

Other identifiers 3

IdentifierTypeStateIssuer
7100246960MedicaidKY
009937581MedicaidAL
04788846MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140507001254 KY Practitioner - General PracticePractitioner - Family PracticePractitioner - Pediatric Medicine 7618903329 Reassigns benefits to 1 organization
I20160623000575 TX Practitioner - Pediatric Medicine 7618903329 Reassigns benefits to 2 organizations
I20220428001554 MS Practitioner - General Practice 7618903329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23144KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Dec 6, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Dec 6, 2021 Accepting new patients
Signify Health, LLC General Practice CurrentSince Jan 7, 2022 Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1821011925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 E COLLEGE AVE",
            "address_2": "SUITE B",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802363",
            "telephone_number": "606-318-3500",
            "fax_number": "606-318-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 E COLLEGE AVE",
            "address_2": "SUITE B",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802363",
            "telephone_number": "606-318-3500",
            "fax_number": "606-318-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "BEATRICE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "23144",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "23144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100246960",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937581",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04788846",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, KY

Sources for this page

Verify at the official NPI Registry.