KENNETH DALE BEATY (NPI# 1255364782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255364782 |
| Entity Type | Individual |
| Full Name | KENNETH DALE BEATY |
| Credential | MD |
| Practice Address |
100 Old Jefferson Celina TN 38551-0217 |
| Mailing Address |
Po Box 217 100 Old Jefferson St Celina TN 38551-0217 |
| Practice Telephone | 9312436725 |
| Practice Fax Number | 9312436727 |
| Mailing Telephone | 9312436725 |
| Mailing Fax Number | 9312436727 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34968 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3861533 | 05 |
| Street Address |
100 OLD JEFFERSON |
| City | CELINA |
| State | TN |
| Zip Code | 38551-0217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073806154 | Xpress Pharmacy of Clay County | Pharmacy | 651 S. Brown St., Celina, TN 38551 | 2011-05-23 |
| 1821380684 | Everett Dillard Whitson | Pharmacist | 1000 Gainesboro Hwy, Celina, TN 38551 | 2011-05-11 |
| 1437384310 | Jean T Donaldson | Dentist | 107 Donaldson Avenue, Celina, TN 38551 | 2009-05-21 |
| 1487878807 | Tara Ashlock Anderson | Pharmacist | 151 Mcarthur Avenue, Celina, TN 38551 | 2007-04-13 |
| 1245328947 | Ronnie Raines | Nurse Practitioner | 100 Old Jefferson Street, Celina, TN 38551 | 2006-10-10 |
| 1184711673 | Roberto S Mauricio | Family Medicine | 102 Old Jefferson St, Celina, TN 38551 | 2006-10-06 |
| 1063520146 | Donaldson Pharmacy | Pharmacy | 201 Mcarthur Ave., Celina, TN 38551 | 2006-08-28 |
| 1023540457 | Vicky Dillon | Nurse Practitioner | 110 Doctors Dr, Celina, TN 38551 | 2017-04-03 |
| 1245601962 | Anitra Ostos | Registered Nurse | 115 Guffey St, Celina, TN 38551 | 2015-10-08 |
| 1265828750 | Anderson Hometown Pharmacy, LLC | Pharmacy | 151 Mcarthur Avenue, Celina, TN 38551 | 2015-04-10 |
| Find all providers in zip 38551 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811298342 | Marden B Lacuesta Md Inc | Family Medicine | 718 E Wayne St, Celina, OH 45822-1356 | 2010-11-15 |
| 1740436252 | Luis L. Perez | Family Medicine | 801 Pro Dr Ste D1, Celina, OH 45822 | 2008-08-15 |
| 1992988638 | Clay County Outpatient Clinic | Family Medicine | 102 Old Jefferson Street, Celina, TN 38551-4040 | 2007-12-17 |
| 1861574873 | Celina Family Practice | Family Medicine | 724 E Wayne St, Celina, HI 45822-0420 | 2006-10-19 |
| 1417038118 | Marden B Lacuesta | Family Medicine | 718 East Wayne Street, Celina, OH 45822 | 2006-10-18 |
| 1184711673 | Roberto S Mauricio | Family Medicine | 102 Old Jefferson St, Celina, TN 38551 | 2006-10-06 |
| 1063429546 | Joyce Elaine Scott | Family Medicine | 1456 Proctor Creek Rd, Celina, TN 38551-6144 | 2006-08-01 |
| 1528019452 | Kevin J Shelton | Family Medicine | 1771 S Preston Rd, Celina, TX 75009-3860 | 2006-05-15 |
| 1265481253 | Gilbert Ross Ghearing | Family Medicine | 151 Mcarthur Ave, Celina, TN 38551-4003 | 2006-05-08 |
| 1891793618 | Philip R. Masser | Family Medicine | 801 Pro Dr, Suite A, Celina, OH 45822-3307 | 2005-07-14 |
| Find all providers in CELINA | ||||
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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.