DR. RYAN A BEEKMAN (NPI# 1154313336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154313336 |
Entity Type | Individual |
Full Name | DR. RYAN A BEEKMAN |
Other Name | DR. RYAN A BEEKMAN II |
Credential | M.D. |
Practice Address |
1201 E Michigan Ave Ste 300 Jackson MI 49201-1852 |
Mailing Address |
Po Box 67000 Department 272801 Detroit MI 48267-0002 |
Practice Telephone | 5178411431 |
Practice Fax Number | 5178411432 |
Mailing Telephone | 5178411431 |
Mailing Fax Number | 5178411432 |
Enumeration Date | 2005-08-16 |
Last Update Date | 2013-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 4301072498 | MI | Other Service Providers |
N | 207X00000X | Orthopaedic Surgery | 4301072498 | MI | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
4301072498 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM GRP - ALLEGIANCE | 700C810580 | 01 |
MI | RR MEDICARE | P00421558 | 01 |
MI | BLUE CROSS BLUE SHIELD MI | 2003810332 | 01 |
Street Address |
1201 E MICHIGAN AVE STE 300 |
City | JACKSON |
State | MI |
Zip Code | 49201-1852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033101225 | Tudor R Tien | Specialist | 1201 E Michigan Ave, Suite 300, Jackson, MI 49201-1852 | 2005-08-16 |
1205325180 | Amy M Miskowski | Physical Therapist | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-05-06 |
1073002366 | Brett Walter Nowery | Occupational Therapist | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-05-02 |
1437651478 | Samantha Sherwood | Nurse Practitioner | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-03-06 |
1003314519 | Suzanne Kathleen Harmon | Specialist/Technologist | 1201 E Michigan Ave, Jackson, MI 49201-1852 | 2018-01-30 |
1598117319 | Lindsay Michelle Fausett | Specialist/Technologist | 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 | 2016-07-05 |
1780051839 | Staci Sue Cattaneo | Nurse Practitioner | 1201 E Michigan Ave, Ste 100, Jackson, MI 49201-1852 | 2015-08-25 |
1811254956 | Nanette Embury | Nurse Practitioner | 1201 E Michigan Ave, Ste 120, Jackson, MI 49201-1852 | 2012-04-13 |
1306174982 | Wa Foote Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 1201 E Michigan Ave, Suite 110, Jackson, MI 49201-1852 | 2009-11-19 |
1043543747 | Amy Lynne Herrick | Nurse Practitioner | 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 | 2009-09-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
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Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386632560 | Chris Phillip Ethridge | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2005-10-11 |
1194725374 | William Bennett Geissler | Orthopaedic Surgery | 1410 E Woodrow Wilson Ave, Ste D, Jackson, MS 39216-5114 | 2005-07-28 |
1356888549 | W.a. Foote Memorial Hospital, Inc | Orthopaedic Surgery | 205 N. East Ave, Jackson, MI 49201 | 2017-01-25 |
1023281896 | West Tennessee Hand Center, Pllc | Orthopaedic Surgery | 19 Security Dr, Jackson, TN 38305-3626 | 2008-04-11 |
1770571002 | Sheila G Lindley | Orthopaedic Surgery | 2500 North State Street, Orthopaedic Surgery, Jackson, MS 39216 | 2005-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
1720216187 | William R. Truluck II Do Pllc | Orthopaedic Surgery | 3945 Okemos Rd Ste B4, Okemos, MI 48864 | 2009-06-24 |
1215101290 | Ruth Marie Baer | Orthopaedic Surgery | 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 | 2008-04-21 |
1962617639 | William Ray Truluck | Orthopaedic Surgery | 1841 Newman Rd, Suite, Okemos, MI 48864-1122 | 2007-05-14 |
1710102389 | Uzma Rehman Do PC | Orthopaedic Surgery | 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 | 2007-04-17 |
1386651487 | B Kent Maupin Md PC | Orthopaedic Surgery | 1001 Medical Park Dr Se, Suite 211, Grand Rapids, MI 49546-3610 | 2006-08-02 |
1033140959 | Frederick Victor Minkow | Orthopaedic Surgery | 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 | 2006-07-06 |
1245261007 | Stephen Edward Werner | Orthopaedic Surgery | 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 | 2006-07-06 |
1801839816 | David L Gerstner | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2006-06-14 |
1730120361 | John Michael Trupiano | Orthopaedic Surgery | 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 | 2006-06-08 |
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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.