STEPHEN JOHN BECK


Address: 1367 Dominion Plz, Tyler, TX 75703-1013
Phone: 9035346200

STEPHEN JOHN BECK (NPI# 1063490472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063490472
Entity Type Individual
Full Name STEPHEN JOHN BECK
Credential MD
Practice Address 1367 Dominion Plz
Tyler
TX 75703-1013
Mailing Address 901 Walnut Hill Dr
Longview
TX 75605-5054
Practice Telephone 9035346200
Practice Fax Number 9039390755
Mailing Telephone 9037578878
Mailing Fax Number 9037575985
Enumeration Date 2006-01-05
Last Update Date 2015-07-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
F3749 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX RAILROAD MEDICARE 070001473 01
TX BCBS PV# 8FD396 01

Other Providers STEPHEN BECK

NPI Name Taxonomy Address Enumeration
1033368006 Stephen David Beck Dentist 1501 Regents Blvd Ste 200, Fircrest, WA 98466-6098 2008-09-15
1245416916 Stephen C Beck General Practice 4427 Hobbs Dr, La Canada Flintridge, CA 91011-3424 2008-01-12
1538226386 Stephen R. Beck Social Worker 3939 Ne Hancock St # 302, Portland, OR 97212-5321 2007-01-02
1174639249 Stephen Robert Beck Internal Medicine 2704 E 62nd St, Ste A, Indianapolis, IN 46220-2958 2006-08-22
1568420503 Stephen Craig Beck Psychiatry & Neurology 1410 Springfield Pike, Apt 62d, Cincinnati, OH 45215-2156 2006-05-01
1205891330 Stephen Mads Beck Dentist 6151 N Fresno St, #105, Fresno, CA 93710-5207 2006-04-20
1285623389 Stephen E. Beck Internal Medicine 7918 164th St, Jamaica, NY 11432-1115 2005-10-20
1922615723 Stephen Beck Counselor 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 2020-09-25
1275159261 Stephen Beck Dentist 4 Hickory Ridge Rd, Hillsboro, MO 63050-5100 2020-06-25
1932688975 Stephen Reid Beck Physical Therapist 2311 Park Ave, Burley, ID 83318-2170 2018-08-10

Office Location

Street Address 1367 DOMINION PLZ
City TYLER
State TX
Zip Code 75703-1013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902317498 Brittany Lauren Healey Physician Assistant 1367 Dominion Plz, Tyler, TX 75703-1013 2017-10-24
1255624474 Lindsey Anne Hunter-ellul Dermatology 1367 Dominion Plz, Tyler, TX 75703-1013 2011-05-20
1053604389 Bobbak Mansouri Dermatology 1367 Dominion Plz, Tyler, TX 75703-1013 2011-05-19
1225264443 Leslie Kay Scroggins Markle Dermatology 1367 Dominion Plz, Tyler, TX 75703-1013 2009-06-02
1013175751 Lawrence L Anderson Md Pa Dermatology 1367 Dominion Plz, Tyler, TX 75703-1013 2008-05-29
1083818884 Alma Criseida Berlingeri Ramos Dermatology 1367 Dominion Plz, Tyler, TX 75703 2007-06-14
1669553582 Loretta A Jones Nurse Practitioner 1367 Dominion Plz, Tyler, TX 75703-1013 2006-10-18
1447354626 Jennifer Dykes Holman Dermatology 1367 Dominion Plz, Tyler, TX 75703-1013 2006-09-11
1932134079 Lawrence L Anderson Md Pa Dermatology 1367 Dominion Plz, Tyler, TX 75703-1013 2006-07-11
1326078817 Robert Everett Rossman Dermatology 1367 Dominion Plz, Tyler, TX 75703-1013 2006-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265477681 Jason L. Blaser Dermatology 1038 S Fleishel Ave, Tyler, TX 75701-2044 2006-06-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649800848 Skin Cancer Dermatology, Pllc Dermatology 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 2020-01-16
1598302721 Austin Skin Pllc Dermatology 1501 Dorothy Nichols Ln # B, Smithville, TX 78957-1725 2019-12-06
1154717726 Joshua Lee Owen Dermatology 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 2015-04-10
1043615263 Epiphany Dermatology Pa Dermatology 7106 Sanger Avenue, Waco, TX 76712-3928 2014-10-30
1255745915 Leon Chen Dermatology 6655 Travis St Ste 650, Houston, TX 77030-1316 2014-06-19
1750624391 Houston Skin Cancer Associates, Pllc Dermatology 1401 Binz Street, Suite 200, Houston, TX 77004 2013-04-02
1457695413 Oliver Street 5.01(a) Inc. Dermatology 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 2012-11-15
1427330588 Michael A. Sorace Md Pa Dermatology 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 2011-09-15
1811229180 Skin Surgery Center, Pa Dermatology 6208 Colleyville Blvd, Suite 100, Colleyville, TX 76034-6223 2010-02-11
1265614168 Michael Sorace Dermatology 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 2007-12-03
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Competitor

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City TYLER
Zip Code 75703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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