MEDICARE: J NEAL BEATON M.D.

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
1	207RP1001X	Pulmonary Disease Physician	C5364	AR
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	C5364	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740218676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	J NEAL BEATON M.D.

Provider Business Mailing Address
First Line	:	9800 LILE DR STE 620
Second Line	:	BAPTIST HEALTH EICUCARE
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-6244
Country	:	US
Telephone Number	:	501-202-6549
Fax Number	:	501-202-6544

Provider Business Practice Location Address
First Line	:	9800 LILE DR STE 620
Second Line	:	BAPTIST HEALTH EICUCARE
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-6244
Country	:	US
Telephone Number	:	501-202-6549
Fax Number	:	501-202-6544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	05/07/2010

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