Individual provider Active NPI

Carol Weisman Beck, MD

  • Pediatrics Physician
  • Beachwood, OH
National Provider Identifier
1962533117
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.044612 Issued in OH
Practice address
26463 Hendon Rd
Beachwood, OH 44122-2427
Phone
(216) 464-5078
Fax
(216) 464-5078
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.044612 OH Primary

Addresses

Primary practice location

26463 Hendon Rd
Beachwood, OH 44122-2427

Mailing address

26463 Hendon Rd
Beachwood, OH 44122-2427
Phone (216) 464-5078

Other names 1

  • Dr. Carol Ellen Weisman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001478 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7315160678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.044612OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1962533117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26463 HENDON RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441222427",
            "telephone_number": "216-464-5078",
            "fax_number": "216-464-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26463 HENDON RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441222427",
            "telephone_number": "216-464-5078",
            "fax_number": "216-464-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "CAROL",
        "middle_name": "WEISMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.044612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WEISMAN",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.