Theodoor Durk Beels, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4349016 Issued in MI

Practice address

3600 Fulton St E
Grand Rapids, MI 49546-1322

Phone

(616) 954-1799

Fax

(616) 248-3530

NPI assigned

Aug 31, 2006

Last updated

Dec 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Computer Health Services PC

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1932167707
  NPD (past)
• Creekside Internal Medicine

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1235284076
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1942311600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-459-6867",
            "fax_number": "616-726-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FULTON ST E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495461322",
            "telephone_number": "616-954-1799",
            "fax_number": "616-248-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELS",
        "first_name": "THEODOOR",
        "middle_name": "DURK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4349016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Ryan Beedon, PSP
• Ashely Beeks
• Hannah Beelen
• Holly Beeler
• Kaitlyn Beels, MD
• Ashely Beene
• Geoffrey Beene, MSW
• Savannah Marie Beezhold
• Befitting You, LLC
• Simin Beg, MD

• Internal Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.