Active NPI
Robert David Beck, MD
- Orthopaedic Surgery Physician
- Fairbanks, AK
National Provider Identifier
1972587145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4025
- Practice address
- 1650 Cowles St
Fairbanks, AK 99701-5925 - Phone
- (907) 458-5525
- Fax
- (907) 458-5514
- NPI assigned
- Dec 1, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4025 | AK | Primary |
Addresses
Primary practice location
1650 Cowles St
Fairbanks, AK 99701-5925
Mailing address
3001 Widgeon LN
Ste 5
Anchorage, AK 99508-4617
Phone (907) 230-0896
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2110 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redington-Fairview General Hospital | Past | Accepting new patients | |
| Redington Medical Associates | Orthopaedic Surgery | Past | Accepting new patients |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients | |
| Redington-Fairview General Hospital | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
-
dba Inland Family Care - Madison/Skowhegan
- Rural Health Clinic/Center
- Madison, ME
- NPI 1851423008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972587145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 WIDGEON LN",
"address_2": "STE 5",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084617",
"telephone_number": "907-230-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015925",
"telephone_number": "907-458-5525",
"fax_number": "907-458-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AK",
"license": "4025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.