Healthcare Provider Details

I. General information

NPI: 1790778538
Provider Name (Legal Business Name): DONALD WILLIAM BECK DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 09/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4304 WALNUT STREET SUITE 7
MCKEESPORT PA
15132-6028
US

IV. Provider business mailing address

4304 WALNUT ST STE 7
MCKEESPORT PA
15132-6028
US

V. Phone/Fax

Practice location:
  • Phone: 412-751-5311
  • Fax: 412-751-5799
Mailing address:
  • Phone: 412-751-5311
  • Fax: 412-751-5799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC002283L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier102190
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUPMC HEALTH PLAN
# 2
Identifier1008018
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerGATEWAY HEALTH PLAN
# 3
Identifier516716
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BS
# 4
Identifier86281
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMEDPLUS 3 RIVERS HEALTH P
# 5
Identifier146585001
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUPMC FOR YOU HEALTH PLAN
# 6
Identifier0008972450002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 7
IdentifierDB5605
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRAILROAD MEDICARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: