Scott Andrew Beckman, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Jasper, IN
NPI 1992701734 · NPPES record last updated Jun 23, 2009
Key facts
- NPI
- 1992701734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01048888 (IN)
- Practice address
- 613 Dorbett St
Jasper, IN 47546-2615 - Phone
- (812) 481-2229
- Fax
- (812) 482-3993
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048888 | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01048888 | IN | Yes |
Addresses
Primary practice location
613 Dorbett St
Jasper, IN 47546-2615
Mailing address
613 Dorbett St
Jasper, IN 47546-2615
Phone (812) 481-2229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200322270 | Medicaid | IN |
Other providers in Jasper, IN
- Sarah Becher
- Audra Beck
- Debra L Beck
- Dean E. Beckman
- Karen G Beckman
- Kathleen M Begle
- Kinsey Marie Begle
- David N Bell
- Gregory Alan Berger
- Leeann Berger
All providers in Jasper, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.