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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
F3749 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | RAILROAD MEDICARE | 070001473 | 01 |
TX | BCBS PV# | 8FD396 | 01 |
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 |
Street Address |
1367 DOMINION PLZ |
City | TYLER |
State | TX |
Zip Code | 75703-1013 |
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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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 |
Find all providers in zip 75703 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
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/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265477681 | Jason L. Blaser | Dermatology | 1038 S Fleishel Ave, Tyler, TX 75701-2044 | 2006-06-19 |
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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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.