Timothy Beacham (NPI# 1669670360, PAC ID# 0749325629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1669670360 |
| PAC ID by PECOS | 0749325629 |
| Professional Enrollment ID | I20170607002301 |
| Full Name | Timothy Beacham |
| Organization Legal Name | CAPITOL PAIN INSTITUTE |
| Address |
3841 Ruckriegel Pkwy Suite 104 Louisville KY 40299-3986 |
| Phone Number | 5027918700 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 9436244522 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180088 | NORTON HOSPITALS, INC |
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 180130 | BAPTIST HEALTH LOUISVILLE |
| 180016 | JEWISH HOSPITAL - SHELBYVILLE |
| Address | Phone | Organization |
|---|---|---|
| 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 | 5027918700 | CAPITOL PAIN INSTITUTE |
| Organization Legal Name | CAPITOL PAIN INSTITUTE |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Crase | Nurse Practitioner | Capitol Pain Institute | 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 |
| Dwight E Mosley | Pain Management | Capitol Pain Institute | 1509 Stonecreek Dr S, Pickerington, OH 43147-9836 |
| Shaun W Nelson | Physician Assistant | Capitol Pain Institute | 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 |
| Julia D Grove | Certified Registered Nurse Anesthetist (crna) | Capitol Pain Institute | 8015 Shoal Creek Blvd, Suite 103, Austin, TX 78757-8051 |
| Suzzane R King | Physician Assistant | Capitol Pain Institute | 1509 Stonecreek Dr S, Pickerington, OH 43147-9836 |
| Tara D Levy | Certified Clinical Nurse Specialist (cns) | Capitol Pain Institute | 8015 Shoal Creek Blvd, Suite 103, Austin, TX 78757-8051 |
| Sarah Johnson | Nurse Practitioner | Capitol Pain Institute | 1509 Stonecreek Dr S, Pickerington, OH 43147-9836 |
| Sameer Sharma | Physical Medicine and Rehabilitation | Capitol Pain Institute | 8015 Shoal Creek Blvd, Suite 103, Austin, TX 78757-8051 |
| James Marshall Brent | Anesthesiology | Capitol Pain Institute | 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 |
| Breann D. Hill Goldsmith | Nurse Practitioner | Capitol Pain Institute | 1509 Stonecreek Dr S, Pickerington, OH 43147-9836 |
| Street Address |
3841 RUCKRIEGEL PKWY SUITE 104 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40299-3986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Crase | Nurse Practitioner | Capitol Pain Institute | 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 |
| Shaun W Nelson | Physician Assistant | Capitol Pain Institute | 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 |
| James Marshall Brent | Anesthesiology | Capitol Pain Institute | 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 |
| Thomas A Freels | Nurse Practitioner | Capitol Pain Institute | 3841 Ruckriegel Pkwy, Suite 104, Louisville, KY 40299-3986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max Barron | Physical Therapy | Agilitas Usa Inc | 9038 Taylorsville Rd, Suite 13, Louisville, KY 40299-1750 |
| Brandy Trader | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 9107 Taylorsville Rd, Louisville, KY 40299-1751 |
| Kasey J Hollenbach | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 9107 Taylorsville Rd, Louisville, KY 40299-1751 |
| Richard J Bobay | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 9107 Taylorsville Rd, Louisville, KY 40299-1751 |
| Christina Lopp | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 9107 Taylorsville Rd, Louisville, KY 40299-1751 |
| Brian Joel Woodruff | Physical Therapy | Pinnacle Physical Therapy Inc | 9204 Taylorsville Rd, Suite 101, Louisville, KY 40299-1788 |
| Trenton L Johns | Chiropractic | 9204 Taylorsville Rd, Suite 110, Louisville, KY 40299-1788 | |
| David Brown | Physical Therapy | Pinnacle Physical Therapy Inc | 9204 Taylorsville Rd, Suite 101, Louisville, KY 40299-1788 |
| William C Green | Clinical Social Worker | 2303 Hurstbourne Village Dr, Suite 1100, Louisville, KY 40299-1830 | |
| Todd D Wolter | Chiropractic | 2304 Hurstbourne Village Dr, Suite 100, Louisville, KY 40299-1856 | |
| Find all physicians in zip 40299 | |||
| City | LOUISVILLE |
| Zip Code | 40299 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | LOUISVILLE + PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.