DR. DOUGLAS P BEALL


Address: 1800 Renaissance Blvd, Second Floor, Edmond, OK 73013-3023
Phone: 4053416410

DR. DOUGLAS P BEALL (NPI# 1992757181) 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) 1992757181
Entity Type Individual
Full Name DR. DOUGLAS P BEALL
Credential MD
Practice Address 1800 Renaissance Blvd
Second Floor
Edmond
OK 73013-3023
Mailing Address Po Box 1390
Oklahoma City
OK 73101-1390
Practice Telephone 4053416410
Practice Fax Number 4053480423
Mailing Telephone 4057759350
Mailing Fax Number 4057759360
Enumeration Date 2006-05-16
Last Update Date 2010-11-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
19054 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200005010A 05

Office Location

Street Address 1800 RENAISSANCE BLVD
SECOND FLOOR
City EDMOND
State OK
Zip Code 73013-3023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770587636 Toby D Broussard Surgery 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 2005-06-09
1083273932 Jennifer Wu Registered Nurse 1800 Renaissance Blvd, Edmond, OK 73013-3023 2019-06-12
1003354689 Memorial Hospital of Texas County Authority Orthopaedic Surgery 1800 Renaissance Blvd, Second Floor Tower, Suite 210, Edmond, OK 73013-3023 2017-02-03
1184179988 Zeiders Orthopedics Pllc Orthopaedic Surgery 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 2016-08-22
1437492436 Melisa Weaver Aprn - Cnp Pllc Nurse Practitioner 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 2013-03-28
1881935922 Sheridan Anesthesia Services of Oklahoma, Inc Anesthesiology 1800 Renaissance Blvd, Edmond, OK 73013-3023 2013-03-14
1740578103 Dianne Genene Tupper Registered Nurse 1800 Renaissance Blvd, Edmond, OK 73013-3023 2011-07-19
1225260565 Jim R. Keller, Ph.d., Specialists In Psychological Counseling & Consul Psychologist 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 2009-08-20
1982838876 Jennifer Marie Cooper Specialist/Technologist 1800 Renaissance Blvd, Edmond, OK 73013-3023 2009-05-07
1821231929 Tupper Orthopedics Pllc Orthopaedic Surgery 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 2009-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407461866 Alison Church-pugh Case Manager/Care Coordinator 1441 Kelley Pointe Pkwy, Edmond, OK 73013 2020-09-12
1699395343 Dental Specialists of Edmond Dentist 16430 Muirfield Pl, Edmond, OK 73013 2020-04-23
1104477215 Kammerer Richey LLC Nurse Practitioner 902 Nw 139th Street Parway, Edmond, OK 73013 2019-09-20
1811459191 Peak Movement Centre, Pllc Clinic/Center 13816 Santa Fe Crossing Dr, Edmond, OK 73013 2019-04-04
1851858492 Luma Hilal Pharmacist 2228 Nw 15th Terrace, Edmond, OK 73013 2019-03-01
1578031571 Oklahoma Wellness Group LLC Internal Medicine 14101 North Esatern Avenue Suite B, Edmond, OK 73013 2018-11-07
1477034395 Specialty Care Pediatrics, Inc. Home Health 2256 Nw 164th Street, Edmond, OK 73013 2018-08-28
1972083921 Pooja Bhakta Physician Assistant Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 2018-08-20
1417460577 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 15103 N Macarthur Blvd, Oklahoma City, OK 73013 2017-11-13
1356879753 Shawn Smith Optimal Pt and Performance, Pllc Physical Therapist 336 Ne 145th Pl, Edmond, OK 73013 2017-05-30
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760829220 Derrick Durell Wagoner Radiology 1800 Renaissance Blvd Ste 110, Edmond, OK 73013 2013-05-23
1952662363 Julia Dry Knarreborg Radiology 1817 Rocky Mountain Way, Edmond, OK 73003-4640 2012-06-01
1346508041 Telerad of Ok Account Management, LLC Radiology 4608 Briar Meade Rd, Edmond, OK 73025-9222 2012-05-01
1437390499 Andrew Stone Radiology 2709 Nw 187th Ter, Edmond, OK 73012-7623 2009-03-20
1316198088 Rodney Alen Kernes Radiology 432 Pacific Crest Trl, Edmond, OK 73003-2061 2008-09-30
1013045756 Roger Barrett Collins Radiology 17104 Hawks Ridge Ln, Edmond, OK 73003-8400 2007-03-02
1588699136 Kamlesh H Naik Radiology 3414 S Broadway, Edmond, OK 73013-4103 2006-07-12
1184692576 Robin E Acker Radiology 1849 Fairmont Ln, Edmond, OK 73013-2938 2006-03-10
1063480333 Laurie J Hast Radiology 1208 Blue Wister Cv, Edmond, OK 73013-1367 2006-03-10
1962485524 Foundation Radiology Group PC Radiology 3509 French Park Dr Ste E, Edmond, OK 73034-7291 2005-11-28
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Competitor

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City EDMOND
Zip Code 73013

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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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