Active NPI
Donnie S Beasley, DO
- Family Medicine Physician
- Lawton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101010940
- Practice address
- 310 White Oak Rd
Lawton, MI 49065-9705 - Phone
- (269) 624-2031
- Fax
- (269) 624-2261
- NPI assigned
- Jul 25, 2006
- Last updated
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101010940 | MI | Primary |
Addresses
Primary practice location
310 White Oak Rd
Lawton, MI 49065-9705
Mailing address
PO Box 178
Paw Paw, MI 49079-0178
Phone (269) 657-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114995271 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2682 E Grand River Ave
Sparrow Urgent Care East Lansing
East Lansing, MI 48823-5608
Phone (517) 333-6562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010940 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000
7335 Westshire Dr
Ste 100
Lansing, MI 48917
Phone (517) 622-2788
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Organizations & group practices 3
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 Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
dba Sparrow Urgent Care
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1477509313
-
dba Sparrow Cardiovascular & Thoracic Surgeons
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1891718631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 178",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490790178",
"telephone_number": "269-657-2550",
"fax_number": "269-657-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 WHITE OAK RD",
"city": "LAWTON",
"state": "MI",
"postal_code": "490659705",
"telephone_number": "269-624-2031",
"fax_number": "269-624-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "DONNIE",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101010940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114995271",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.