NPIMap

Individual provider Active NPI

Glenn Beck, DO

  • Family Medicine Physician
  • Painesville, OH
National Provider Identifier
1851484752
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006109B Issued in OH
Practice address
470 Bacon Rd
Painesville, OH 44077-4769
Phone
(440) 354-9900
Fax
(440) 354-9910
NPI assigned
Oct 2, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34006109B OH Primary

Addresses

Primary practice location

470 Bacon Rd
Painesville, OH 44077-4769

Mailing address

PO Box 74928
Cleveland, OH 44194-1011
Phone (216) 383-6776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000545 OH Practitioner - Family Practice 2567480445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashtabula County Medical CenterGroup PAC ID 2668465600, 70 clinicians

Practice addresses (Care Compare)

2259 Lake Ave
Ashtabula, OH 44004-3437
Phone (440) 994-7654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006109BOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Ashtabula County Medical Center CurrentSince Oct 15, 2018 Accepting new patients
University Primary Care Practices Inc Family Medicine Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
Apex Dermatology and Skin Surgery Center, LLC PastSince Oct 15, 2018 Accepting new patients

Locations

2259 Lake Ave
Ashtabula, OH 44004
Phone (440) 994-7550

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

Interoperability endpoints

  • Direct secure messaging: gbeck1243293@direct.ccf.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1851484752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74928",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441941011",
            "telephone_number": "216-383-6776",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BACON RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440774769",
            "telephone_number": "440-354-9900",
            "fax_number": "440-354-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "GLENN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006109B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.