Individual provider Active NPI

Stanley Beekman, DPM

  • Podiatrist
  • Cleveland, OH
National Provider Identifier
1942229034
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001802B Issued in OH
Practice address
13333 Lorain Ave
13333 Lorain Ave
Cleveland, OH 44111-3400
Phone
(216) 941-3338
Fax
(216) 941-7505
NPI assigned
Jul 19, 2006
Last updated
Feb 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36001802B OH Primary

Addresses

Primary practice location

13333 Lorain Ave
13333 Lorain Ave
Cleveland, OH 44111-3400

Mailing address

133333 Lorain Avenue
13333 Lorain Avenue
Cleveland, OH 44111
Phone (216) 941-3338

Other identifiers 1

IdentifierTypeStateIssuer
0364921MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
36001802BOHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Footcare, Inc. Current Accepting new patients
Midwest Footcare, Inc Current Accepting new patients
Gentle Footcare LLC Podiatrist Past Accepting new patients

Locations

13333 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-3338

245 Stocksdale Dr
Marysville, OH 43040
Phone (937) 642-9936

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1942229034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133333 LORAIN AVENUE",
            "address_2": "13333 LORAIN AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44111",
            "telephone_number": "216-941-3338",
            "fax_number": "216-941-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 LORAIN AVE",
            "address_2": "13333 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113400",
            "telephone_number": "216-941-3338",
            "fax_number": "216-941-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEKMAN",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001802B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0364921",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.