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NPI Code Detail

MEDICARE: DR. JAMES BEESON MD

MEDICARE: DR. JAMES BEESON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician01032204AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2930126125OTHERINMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101032204OTHERINSTATE LIC #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700881687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES BEESON MD
Provider Business Mailing Address
First Line : 2015 JACKSON ST
Second Line :
City : ANDERSON
State : IN
Zip : 46016-4337
Country : US
Telephone Number : 765-646-8235
Fax Number : 765-646-8655
Provider Business Practice Location Address
First Line : 8111 S EMERSON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8601
Country : US
Telephone Number : 317-528-8148
Fax Number : 765-646-8655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/24/2021

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