JONATHAN BEACH DO PLLC (NPI# 1104023910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104023910 |
| Entity Type | Organization |
| Organization Name | JONATHAN BEACH DO PLLC |
| Other Organization Name | URGICARE OF THE NORTHEAST |
| Practice Address |
79 Hammond Ln Suite #2 Plattsburgh NY 12901-2008 |
| Mailing Address |
505 Devils Den Rd Altona NY 12910-2018 |
| Practice Telephone | 5185635900 |
| Practice Fax Number | 5195635903 |
| Mailing Telephone | 5182365611 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JONATHAN CHARLES BEACH (PRESIDENT) |
| Authorized Official Telephone | 5185635900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
228601 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Urgicare of the Northeast | Doing Business As Name - Organization |
| Street Address |
79 HAMMOND LN SUITE #2 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720008147 | Tricia D Miller | Physician Assistant | 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | 2006-07-20 |
| 1861869950 | Ashley Williams | Physician Assistant | 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | 2015-08-25 |
| 1881078079 | Beach Medical Services | Clinic/Center | 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | 2015-07-17 |
| 1053641886 | Scott A Liberty | Physician Assistant | 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | 2009-12-29 |
| 1356497986 | Thomas G. Trudell, Inc. | Prosthetic/Orthotic Supplier | 79 Hammond Ln, Plattsburgh, NY 12901-2008 | 2007-01-26 |
| 1124193321 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 79 Hammond Ln, Plattsburgh, NY 12901-2004 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969499 | Wellnow Urgent Care, PC | Clinic/Center | 474 Route 3, Plattsburgh, NY 12901-6538 | 2017-01-25 |
| 1881078079 | Beach Medical Services | Clinic/Center | 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1932712049 | Lefferts Medical Associates PC | Clinic/Center | 808a Hicksville Rd, Massapequa, NY 11758-1262 | 2020-08-28 |
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1649899832 | City Medical of Upper East Side, Pllc | Clinic/Center | 424 S Broadway, Yonkers, NY 10705-2301 | 2020-04-09 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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| 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.