DAVID R BEATTY (NPI# 1568434710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568434710 |
| Entity Type | Individual |
| Full Name | DAVID R BEATTY |
| Credential | DO |
| Practice Address |
1464 Jefferson St N Lewisburg WV 24901-1380 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 3046454103 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 8444794545 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 1577 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0047502000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699183772 | David Beatty | Optometrist | 315 Crossgates Blvd Ste G, Brandon, MS 39042-2615 | 2014-08-01 |
| 1700164191 | David P Beatty | Case Manager/Care Coordinator | 1151 Michigan Ave, 118, East Lansing, MI 48823-4069 | 2011-08-02 |
| 1558569798 | David E. Beatty | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2007-07-10 |
| 1083781579 | David M Beatty | Dentist | 201 W Chisholm St, Alpena, MI 49707-2418 | 2006-11-29 |
| 1871685842 | David Ayers Beatty | Chiropractor | 2738 Clairmont Rd Ne, Atlanta, GA 30329-2713 | 2006-09-28 |
| 1093727877 | David Beatty | Clinical Nurse Specialist | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2006-08-12 |
| 1174534895 | David A Beatty | Anesthesiology | 2310 California Road, Elkhart, IN 46514-1228 | 2006-08-10 |
| 1568471274 | David M Beatty | Family Medicine | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2006-08-05 |
| 1912901554 | David Leroy Beatty | Podiatrist | 125 N Water St, Paulding, OH 45879-1245 | 2005-06-10 |
| Street Address |
1464 JEFFERSON ST N |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659561 | Belinda K Smith | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2005-06-16 |
| 1730703893 | Joshua Paul Ennis | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
| 1063036127 | Vernon Leung | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
| 1407494883 | Meghan R Pankey | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2019-12-16 |
| 1013496991 | West Virginia School of Osteopathic Medicine Clinic Inc | Psychologist | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-08-10 |
| 1417447855 | Robert Joseph Tavares | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-05-11 |
| 1750818316 | Chelsea Feger | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-05-15 |
| 1184158107 | Christopher Paul Kennedy | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-04-17 |
| 1730626029 | Jenifer Richmond | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-01-24 |
| 1902351547 | Morgan Bergeson | Dietitian, Registered | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2016-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336638295 | Edward Mark Edris | Neuromusculoskeletal Medicine & OMM | Robert C. Byrd Clinic, 400 North Jefferson Street, Lewisburg, WV 24901 | 2018-05-07 |
| 1225483571 | Kevin Hennenhoefer | Neuromusculoskeletal Medicine & OMM | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-04-24 |
| 1124381488 | Jessica B. Smith-kelly | Neuromusculoskeletal Medicine & OMM | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2012-06-21 |
| 1356655419 | Leslie K Buchanan | Neuromusculoskeletal Medicine & OMM | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2010-07-31 |
| 1265746325 | Thomas A Richardson | Neuromusculoskeletal Medicine & OMM | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2010-07-31 |
| 1821236654 | Robert W Foster | Neuromusculoskeletal Medicine & OMM | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2009-02-02 |
| 1508975798 | Dennis A. Burke | Neuromusculoskeletal Medicine & OMM | 400 N Jefferson St, Lewisburg, WV 24901 | 2006-08-30 |
| 1598798357 | Deborah Schmidt | Neuromusculoskeletal Medicine & OMM | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2006-07-07 |
| 1194758003 | John Mark Garlitz | Neuromusculoskeletal Medicine & OMM | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2006-07-07 |
| 1538137559 | Charles Scott Mcclung Sr. | Neuromusculoskeletal Medicine & OMM | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2006-03-08 |
| Find all providers in LEWISBURG | ||||
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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.