Beacon Primary Care LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

BEACON PRIMARY CARE LLC

Practice address

10967 Allisonville Rd Ste 110
Fishers, IN 46038-2634

Phone

(317) 599-5970

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Peter Donald Farr

Title

Owner

Phone

(317) 559-7970

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1982155487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382634",
            "telephone_number": "317-559-5970",
            "fax_number": "317-559-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD STE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382634",
            "telephone_number": "317-599-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-559-7970"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN3378",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roniya Bates
• Mikayla Batt
• Cierra Baukert
• Kristin Nicole Baxter
• Emi Bays, MD
• Jayme Lyn Beadle, D.D.S.
• Teresa D Beam, M.D.
• Jennifer Bear
• Beard-Andreasen Therapy Services, LLC
• Brandi Beard-Andreasen, MS

• Addiction Medicine (Family Medicine) Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Addiction Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.