Active NPI
Marvin Lowery Beck, M.D.
- Pediatrics Physician
- Jonesboro, AR
National Provider Identifier
1962583013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C7456
- Practice address
- 3203 Methodist Drive
Jonesboro, AR 72403-9069 - Phone
- (870) 935-1800
- Fax
- (870) 935-2917
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C7456 | AR | Primary |
Addresses
Primary practice location
3203 Methodist Drive
Jonesboro, AR 72403-9069
Mailing address
3203 Methodist Dr
Jonesboro, AR 72401-7434
Phone (870) 935-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119050001 | Medicaid | AR |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7456 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients | |
| Lowery Beck, M.D. PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Jonesboro, AR
- NPI 1356490452
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1962583013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 METHODIST DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017434",
"telephone_number": "870-935-1800",
"fax_number": "870-935-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 METHODIST DRIVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724039069",
"telephone_number": "870-935-1800",
"fax_number": "870-935-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "MARVIN",
"middle_name": "LOWERY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "C7456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119050001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.