PAUL RICHARD BECK (NPI# 1104931203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104931203 |
| Entity Type | Individual |
| Full Name | PAUL RICHARD BECK |
| Credential | M.D. |
| Practice Address |
175 Country Club Dr Building 100, Suite E Stockbridge GA 30281-9054 |
| Practice Telephone | 7705075000 |
| Practice Fax Number | 7705075075 |
| Mailing Telephone | 7705075000 |
| Mailing Fax Number | 7705075075 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 036-114125 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
66755 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DMERC | 035958001 | 01 |
| IL | HEALTH ALLIANCE | 109303 | 01 |
| IL | BLUE CROSS/BLUE SHIELD | 01915167 | 01 |
| IL | 036114125 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376619171 | Paul Beck | Internal Medicine | 1620 43rd Ave E, #4b, Seattle, WA 98112-3266 | 2006-11-27 |
| 1851425540 | Paul Edward Beck | Chiropractor | 1918 Broadwater Ave, Billings, MT 59102-4867 | 2007-03-15 |
| 1700921103 | Paul V. Beck | Surgery | 1555 East St, Suite 220, Redding, CA 96001-1153 | 2007-02-21 |
| 1861556847 | Paul Beck | Physician Assistant | 771 Old Norcross Rd, Suite 310, Lawrenceville, GA 30046-4386 | 2006-12-21 |
| 1982622130 | Paul Beck | Emergency Medicine | 2570 Haymaker Rd, Monroeville, PA 15146-3513 | 2006-07-17 |
| 1508802836 | Paul Beck | Obstetrics & Gynecology | 1 Brookdale Plz, Katz-pavillion Rm. 4-c30, Brooklyn, NY 11212-3139 | 2006-06-22 |
| 1356322879 | Paul A Beck | Orthopaedic Surgery | 280 S Main St, Ste 200, Orange, CA 92868-3852 | 2005-11-10 |
| Street Address |
175 COUNTRY CLUB DR BUILDING 100, SUITE E |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-9054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669550 | Jon P Finley | Orthopaedic Surgery | 175 Country Club Dr, Bldg 100, Stockbridge, GA 30281-9054 | 2005-06-16 |
| 1578007563 | Cidney Chester Windom | Nurse Practitioner | 175 Country Club Dr, Suite B, Stockbridge, GA 30281-9054 | 2016-12-08 |
| 1013307198 | Advocacy Healthcare Adult Medicine | Internal Medicine | 175 Country Club Dr, Suite 100 D, Stockbridge, GA 30281-9054 | 2015-01-28 |
| 1972941276 | Stockbridge Health & Wellness LLC | Internal Medicine | 175 Country Club Dr, Bldg 300c, Stockbridge, GA 30281-9054 | 2013-06-07 |
| 1366700544 | Bella Dermatology | Dermatology | 175 Country Club Dr, Stockbridge, GA 30281-9054 | 2012-04-25 |
| 1841515780 | Denise C. De Veranez, M.d., P.C. | Internal Medicine | 175 Country Club Dr, Bldg. 100, Ste. C, Stockbridge, GA 30281-9054 | 2010-04-04 |
| 1871657569 | Henry Lee Mckay | Internal Medicine | 175 Country Club Dr, Bldg 100d, Stockbridge, GA 30281-7380 | 2006-12-20 |
| 1023171493 | Janet Holland | Physician Assistant | 175 Country Club Dr, Bldg. 100 Suite C, Stockbridge, GA 30281-9054 | 2006-12-18 |
| 1669486981 | South Metro Bone & Joint PC | Orthopaedic Surgery | 175 Country Club Dr, Bldg 100 Suite E, Stockbridge, GA 30281-9054 | 2006-07-29 |
| 1548228281 | Atlanta Psychotherapy | Counselor | 175 Country Club Dr, Suite 200-e, Stockbridge, GA 30281-9054 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669550 | Jon P Finley | Orthopaedic Surgery | 175 Country Club Dr, Bldg 100, Stockbridge, GA 30281-9054 | 2005-06-16 |
| 1023307626 | Steven Peter Rayappa | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2011-04-04 |
| 1902822505 | Sutton Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 145 Medical Blvd, Stockbridge, GA 30281-5083 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326679671 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 965 Oakland Rd Ste C, Lawrenceville, GA 30044-3758 | 2020-01-27 |
| 1932730298 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 1100 Northside Forsyth Dr Ste 360, Cumming, GA 30041-6022 | 2020-01-27 |
| 1275094310 | Mariolino Da Graca Fernandes | Orthopaedic Surgery | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-03-29 |
| 1437601598 | Optim Orthopedics LLC | Orthopaedic Surgery | 460 Mall Blvd Ste B, Savannah, GA 31406-4801 | 2016-10-25 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| 1396121315 | 2 Bare Bones Medical LLC | Orthopaedic Surgery | 11102 Abercorn St, Savannah, GA 31419-1822 | 2015-07-31 |
| 1578985180 | Brandon Dobo | Orthopaedic Surgery | 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 | 2014-01-16 |
| 1306102785 | Elan J Golan | Orthopaedic Surgery | 1800 Tree Ln Ste 140, Snellville, GA 30078-6799 | 2012-04-10 |
| 1235405747 | Pinnacle Orthopaedics & Sports Medicine Specia | Orthopaedic Surgery | 1000 Chastain Road, Building II, Kennesaw, GA 30144-0000 | 2012-03-29 |
| 1346413648 | Mathew William Pombo | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.