Michael E Beatty, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MICHAEL E BEATTY, M.D., P.C.

Practice address

2 Sunset Hills Professional Ctr
Edwardsville, IL 62025-3760

Phone

(618) 656-9355

Fax

(618) 692-9880

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Harold Yates

Title

Practice Administrator

Phone

(618) 656-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHWESTERN ILLINOIS PLASTIC & HAND SURGERY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khashayar Dehghan, M.D., PHD

  • Plastic and Reconstructive Surgery Physician
  • Tacoma, WA
  • NPI 1801801659
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1881759991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUNSET HILLS PROFESSIONAL CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253760",
            "telephone_number": "618-656-9355",
            "fax_number": "618-692-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUNSET HILLS PROFESSIONAL CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253760",
            "telephone_number": "618-656-9355",
            "fax_number": "618-692-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E BEATTY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "618-656-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD MEDICARE PTAN #",
            "identifier": "962560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWESTERN ILLINOIS PLASTIC & HAND SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark A. Merz, D.C.
• Scott A Merz, D.C.
• Metro East Therapy, Inc.
• Metro Eye Care PC
• Courtney Meyer
• Michelle Hoover Ms Management
• Clarice Isabella Mick, BEHAVIORA TECHNICIAN
• Brittney Anne Mihalich
• Vessela Miladinova, MPH, BSN, RN
• Susan C Milam, OT

• Specialist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.