Active NPI
Byron Kevin Beaver, M.D.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- North Little Rock, AR
National Provider Identifier
1982688800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- E-6065
- Practice address
- 3333 Springhill Dr
Suite 2002
North Little Rock, AR 72117-2922 - Phone
- (501) 202-3638
- Fax
- (501) 202-3639
- NPI assigned
- Dec 5, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | L6781 | TX | |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | E-6065 | AR | Primary |
Addresses
Primary practice location
3333 Springhill Dr
Suite 2002
North Little Rock, AR 72117-2922
Mailing address
PO Box 16474
Little Rock, AR 72231-6474
Phone (501) 202-3638
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160896002 | Medicaid | TX | |
| 8AJ534 | Other | TX | BCBS INDIVIDUAL |
| 179030001 | Medicaid | AR | |
| P00094736 | Other | TX | RAILROAD MEDICARE |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Emergency Medicine Associates PA | Past | Accepting new patients | |
| Keith Van Meter & Associates | Past | Accepting new patients | |
| Van Meter MD & Associates | Past | Accepting new patients | |
| Jefferson Emergency Medicine Associates PA | Past | Accepting new patients | |
| Southeast Emergency Physician Associates, P.a. | Past | Accepting new patients | |
| Advanced Wound Care & Hyperbarics, PA | Undersea and Hyperbaric Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- North Little Rock, AR
- NPI 1891926796
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1497966949
-
- Multi-Specialty Clinic/Center
- Bay St Louis, MS
- NPI 1093811051
-
- Emergency Medicine Physician
- Port Arthur, TX
- NPI 1780886150
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1235155102
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1982688800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16474",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722316474",
"telephone_number": "501-202-3638",
"fax_number": "501-202-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SPRINGHILL DR",
"address_2": "SUITE 2002",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172922",
"telephone_number": "501-202-3638",
"fax_number": "501-202-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVER",
"first_name": "BYRON",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "L6781",
"primary": false
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "AR",
"license": "E-6065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160896002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "8AJ534",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179030001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00094736",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.