NPIMap

Organization Active NPI

Betsy Beers MD PA

Doing business as Dermatology Associates

  • Dermatopathology Physician
  • Gainesville, FL
National Provider Identifier
1841311933
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
BETSY BEERS MD PA
Doing business as
Dermatology Associates
Practice address
350 NW 76 Dr
Suite a
Gainesville, FL 32607
Phone
(352) 332-4051
Fax
(352) 332-2966
NPI assigned
Apr 3, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Betsy Beers, MDNPI 1275628562
Title
Owner Physician
Phone
(352) 332-4051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X Primary

Addresses

Primary practice location

350 NW 76 Dr
Suite a
Gainesville, FL 32607

Mailing address

350 NW 76 Dr
Suite a
Gainesville, FL 32607
Phone (352) 332-4051

Other identifiers 1

IdentifierTypeStateIssuer
K0200OtherFLGROUP BILLING

Other names 1

  • Dermatology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000295 FL Part B Supplier - Clinic/Group Practice 7719063619 Receives reassigned benefits from 8 practitioners
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

350 NW 76th Dr
Ste A
Gainesville, FL 32607
Phone (352) 332-4051

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1841311933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 76 DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-332-4051",
            "fax_number": "352-332-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 76 DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-332-4051",
            "fax_number": "352-332-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY BEERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "352-332-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BILLING",
            "identifier": "K0200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.