DR. WALTER LEE BEARD JR. (NPI# 1396032983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396032983 |
| Entity Type | Individual |
| Full Name | DR. WALTER LEE BEARD JR. |
| Credential | M.D. |
| Practice Address |
1700 Spring Hill Ave Ste 100 Mobile AL 36604-1416 |
| Practice Telephone | 2514351200 |
| Practice Fax Number | 2514356357 |
| Mailing Telephone | 2514351200 |
| Mailing Fax Number | 2514356357 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | T-2403 | MS | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
81780 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.36054 | AL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME132982 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE | 81780 | 01 |
| MS | MS TEMPORARY MEDICAL LICENSE | T-2403 | 01 |
| FL | 021429400 | 05 | |
| FL | MEDICAL LICENSE | ME132982 | 01 |
| AL | MEDICAL LICENSE | MD.36054 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1717 N E St Ste 331, Pensacola, FL 32501 | 8504846500 | 8508571747 |
| 2500 N State St, Department of Medicine, Jackson, MS 392164500 | 6019845601 | 6019846665 |
| Street Address |
1700 SPRING HILL AVE STE 100 |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132556 | Mina Ayad Jacob | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2006-05-19 |
| 1841821147 | Eleanor Katharine Wilkinson | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2020-01-27 |
| 1356981930 | Samantha Payton Baxter | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2020-01-10 |
| 1093272874 | Lawanda S Fantroy | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2019-02-27 |
| 1437674397 | Karras Radonna Hunt | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2017-08-11 |
| 1598122715 | Meredith Kronn Veazey | Physician Assistant | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2016-01-19 |
| 1912370818 | Elizabeth Watson | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2015-11-02 |
| 1235570375 | Chibuzo Clement Odigwe | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-07-16 |
| 1003255993 | Jose Nahun Galeas Soriano | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-06-24 |
| 1952696247 | Jessica Kaur Bhathal | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
| 1831344217 | Dennis Raymond Thomas | Internal Medicine | 3101 Riviere Du Chien Loop E, Mobile, AL 36693-5408 | 2008-11-26 |
| 1841219789 | Russell F Kelly | Internal Medicine | 6701 Airport Blvd Ste C138, Mobile, AL 36608-3784 | 2006-07-19 |
| 1164462321 | Kenneth M Burnham | Internal Medicine | 3715 Dauphin St Ste 4400, Mobile, AL 36608-1727 | 2006-06-07 |
| 1023057197 | William James Hayes | Internal Medicine | 6600 Wall St, Mobile, AL 36695-4512 | 2006-06-05 |
| 1891742821 | Stephanie Diane Grosz | Internal Medicine | 600 Providence Park Dr E, Mobile, AL 36695-4616 | 2006-05-27 |
| 1730132556 | Mina Ayad Jacob | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2006-05-19 |
| 1588109599 | Citrin Cardiology PC | Internal Medicine | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-3784 | 2016-12-29 |
| 1073973160 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Bldg. C, Mobile, AL 36617-2238 | 2016-03-02 |
| 1124385927 | Chad Warren Mcree | Internal Medicine | 6701 Airport Blvd Ste D330, Mobile, AL 36608-6758 | 2012-04-18 |
| Find all providers in MOBILE | ||||
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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.