DR. DAVID M BEATTY


Address: 2901 Old Jacksonville Rd, Springfield, IL 62704-7437
Phone: 2176989722

DR. DAVID M BEATTY (NPI# 1568471274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568471274
Entity Type Individual
Full Name DR. DAVID M BEATTY
Credential MD
Practice Address 2901 Old Jacksonville Rd
Springfield
IL 62704-7437
Mailing Address Po Box 500
Chatham
IL 62629-0500
Practice Telephone 2176989722
Practice Fax Number 2173910392
Mailing Telephone 2176702424
Mailing Fax Number 2176702809
Enumeration Date 2006-08-05
Last Update Date 2011-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036112014 IL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 38680 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL RR MEDICARE IND PROV ID P00397731 01
IL ACS-OWCP 133586700 01
IL HEALTHLINK 787412 01
IL CATERPILLAR 6394P 01
IL STATE LICENSE 036112014 01
IL CLIA CERT SPFLD LOC 14D0949277 01
IL BLACK LUNG 020057300 01
IL PERSONAL CARE 310046 01
IL RR MEDICARE GROUP CD7143 01
IL BCBS 08421024 01
IL HEALTH ALLIANCE 130434 01
IL CLIA CERT CHATHAM LOC 14D0435365 01

Other Providers DAVID BEATTY

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
1568434710 David R Beatty Neuromusculoskeletal Medicine & OMM 1464 Jefferson St N, Lewisburg, WV 24901-1380 2006-02-02
1912901554 David Leroy Beatty Podiatrist 125 N Water St, Paulding, OH 45879-1245 2005-06-10

Office Location

Street Address 2901 OLD JACKSONVILLE RD
City SPRINGFIELD
State IL
Zip Code 62704-7437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467441550 Julio Cesar Vijil Sr. Surgery 2901 Old Jacksonville Rd, Suite B3, Springfield, IL 62704-7439 2005-10-20
1316591761 Shelby Kern Nurse Practitioner 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2019-07-24
1609392091 Tamara Hardwick Nurse Practitioner 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2017-08-17
1598217978 Amy J Welch Registered Nurse 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2016-11-01
1316399140 Neesha Settipalle Internal Medicine 2901 Old Jacksonville Rd, Springfield, IL 62704 2016-07-05
1508245028 Carly Ellison Nurse Practitioner 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2015-05-29
1013395250 Gopinathan Gangadharan Nambiar Pediatrics 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2015-05-07
1467849257 Hshs Medical Group Inc Durable Medical Equipment & Medical Supplies 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2015-04-20
1225443484 Erin Blackburn Pediatrics 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2014-06-26
1801209291 Jieun Heo Family Medicine 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 2014-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
1871095364 Edward Doyle Slifer Sr. Pathology 2117 Greenside Drive, Spring Field, IL 62704 2018-03-01
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1730611286 Mindi Rowe Occupational Therapist 2508 County Rd 4 1/2 E, Springfield, IL 62704 2017-04-03
1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841802592 Community Health and Wellness Services, Inc. Family Medicine 312 Memorial Park Dr, Springfield, PA 19064-1714 2020-08-22
1649815796 180 Health Lifestyle Wellness Centers Family Medicine 1936 S Glenstone Ave, Springfield, MO 65804-2305 2019-11-13
1790337988 Aminat Ogun Family Medicine 520 N 4th St # 62702, Springfield, IL 62702-5238 2019-07-09
1770076622 Thomas John Schumann Family Medicine 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 2018-06-14
1134648959 Patricia Derges Family Medicine 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 2017-09-12
1740704667 Mercy Management of Sepa Family Medicine 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 2017-08-02
1083134902 Trevor Conner Family Medicine 1423 N Jefferson Ave, B100, Springfield, MO 65802 2017-06-21
1790215853 Vincent Marchese Family Medicine 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 2017-06-12
1184152100 Canaan Arceneaux Family Medicine 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 2017-06-03
1063943587 Cody Stark Rogers Family Medicine 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 2017-03-26
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Competitor

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City SPRINGFIELD
Zip Code 62704

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Dataset Information

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.

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