DR. CHARLES EDWARD BEALE (NPI# 1407146962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407146962 |
Entity Type | Individual |
Full Name | DR. CHARLES EDWARD BEALE |
Credential | M. D. |
Practice Address |
535 Faunce Corner Rd Dartmouth MA 02747-1242 |
Mailing Address |
106 Blackstone Blvd Apt 4 Providence RI 02906-5452 |
Practice Telephone | 5089963991 |
Mailing Telephone | 9144979931 |
Enumeration Date | 2011-04-18 |
Last Update Date | 2019-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MC16299 | RI | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
281128 | MA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | LICENSE | MD16299 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
593 Eddy St, Providence, RI 02903 | 4014445891 | 4014448158 |
Dept. of Medicine Hsc T16, Stony Brook University Hospital, Stony Brook, NY 117948160 | 6314444000 | 6314442493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073636965 | Charles L Beale | Psychologist | 62 N Chapel St, Suite 203, Newark, DE 19711-2238 | 2007-04-07 |
Street Address |
535 FAUNCE CORNER RD |
City | DARTMOUTH |
State | MA |
Zip Code | 02747-1242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528062858 | Robert Wade Conroy | Psychiatry & Neurology | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2005-05-31 |
1215596945 | Stephanie Noble | Audiologist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-06-06 |
1437668241 | Joymon K Sebastian | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-09-25 |
1275918286 | Kathryn Fallavollita | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-07-21 |
1861883571 | Optomeyes Health PC | Optometrist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-02-17 |
1982002028 | Michelle Kallevik | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-12-05 |
1275934382 | Erica Lopes Cabral | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-09-08 |
1174930382 | Leanne Borden | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-07-21 |
1699187575 | Rachel Hoffmann | Dermatology | 535 Faunce Corner Rd, Dartmouth, MA 02747 | 2014-05-27 |
1568891620 | Erica Michelle Ahaesy | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2013-11-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699965723 | Alicia S Romero | Internal Medicine | 14 Everett St, Apt. #1, Allston, MA 02134-1996 | 2007-07-25 |
1295845600 | Raghavan Amarasingham | Internal Medicine | Veterans Admin Medical Center, 200 Springs Road, Bedford, MA 01730 | 2006-08-30 |
1124053277 | Charles M Gibson | Internal Medicine | 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726 | 2006-07-11 |
1275569972 | Christopher T. Pyne | Internal Medicine | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-06-24 |
1215975578 | Timothy James Larkin | Internal Medicine | 75 Herrick St. Suite 206, Lahey Cardiology, Beverly, Beverly, MA 01915-5900 | 2006-06-02 |
1659318335 | Samuel J Shubrooks Jr. | Internal Medicine | 1 Deaconess Rd,baker 4, Beth Israel Deaconess Medical Ctr, Boston, MA 02215 | 2006-06-01 |
1255339917 | David M Desimone | Internal Medicine | 305 Massachusetts Ave, Arlington, MA 02474-8310 | 2005-07-07 |
1033112610 | Edward J Loughery | Internal Medicine | 480 Maple Street, Northeast Cardiology, Danvers, MA 01923 | 2005-05-27 |
1437152246 | Mohan Govindan | Internal Medicine | 33 Bartlett St, Suite 206, Lowell, MA 01852-1334 | 2005-05-24 |
1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
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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.