John E Beathler Jr., M.D,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-07-2627 Issued in OH

Practice address

2511 Oakstone Dr
Columbus, OH 43231-7612

Phone

(614) 523-2155

Fax

(614) 523-0507

NPI assigned

Nov 30, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD (past)
• Dublin Medical Clinic Inc II

  • Family Medicine Physician
  • Dublin, OH
  • NPI 1053465336
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1952385411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483761500",
            "telephone_number": "248-324-0700",
            "fax_number": "248-324-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 OAKSTONE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317612",
            "telephone_number": "614-523-2155",
            "fax_number": "614-523-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATHLER",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vibeka Beasley, RDH
• Suzanne Beason-Hazen, PHD
• Elisabeth Rae Beason, MD
• Beast Academy LLC
• William A Beathard, RPH
• Donica Corenne Marks Beattie, APRNCNP
• James F Beattie, MD
• Ryan A. Beattie, APRN-CRNA
• Amy L Beatty, PHARM.D., BCPS
• Arkeysha N Beatty, APRN-CNP

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.