ANDREW C BEACH (NPI# 1164423935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164423935 |
| Entity Type | Individual |
| Full Name | ANDREW C BEACH |
| Credential | MD |
| Practice Address |
211 Teaco Rd Kennett MO 63857-3236 |
| Mailing Address |
Po Box 908 Kennett MO 63857-0908 |
| Practice Telephone | 5738880001 |
| Practice Fax Number | 5738880006 |
| Mailing Telephone | 5738880001 |
| Mailing Fax Number | 5738880006 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2008-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2000151544 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205068406 | 05 | |
| MO | BCBS | 139325 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720217789 | Andrew Wilson Beach | Physician Assistant | 5 Vanderbilt Park Dr, Asheville, NC 28803-1700 | 2009-07-10 |
| 1861548281 | Andrew Ward Beach | Physical Therapist | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2007-01-26 |
| Street Address |
211 TEACO RD |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689864 | Brittnay Mossman | Nurse Practitioner | 211 Teaco Rd, Kennett, MO 63857-3236 | 2018-12-05 |
| 1619444627 | Kimberly Ellen Slayton | Nurse Practitioner | 211 Teaco Rd, Kennett, MO 63857-3236 | 2018-10-29 |
| 1497282974 | Shawn Michelle Waugh | Nurse Practitioner | 211 Teaco Rd, Kennett, MO 63857-3236 | 2017-05-16 |
| 1629511415 | Kennett Pediatrics and Asolescents Medicine LLC | Family Medicine | 211 Teaco Rd, Kennett, MO 63857-3236 | 2016-11-28 |
| 1083167522 | Ginger L Smith | Nurse Practitioner | 211 Teaco Rd, Kennett, MO 63857-3236 | 2016-08-02 |
| 1801224407 | Lori E Parker | Clinical Nurse Specialist | 211 Teaco Rd, Kennett, MO 63857-3236 | 2013-10-17 |
| 1780859512 | Kennett Pediatric | Pediatrics | 211 Teaco Rd, Kennett, MO 63857-3236 | 2008-04-23 |
| 1063414704 | Kennett Pediatrics and Adolescents Medicine LLC | Pediatrics | 211 Teaco Rd, Kennett, MO 63857-3236 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205883980 | Kennett Hma LLC | Pediatrics | 1301 1st St, Kennett, MO 63857-2525 | 2006-05-28 |
| 1235132648 | Teresita I Manubay | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2005-05-31 |
| 1851707871 | Kennett Hma, LLC | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2014-07-10 |
| 1861792103 | Manubay Medical Clinic Md Inc | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2010-11-02 |
| 1851618011 | Kennett Hma LLC | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2010-04-28 |
| 1780859512 | Kennett Pediatric | Pediatrics | 211 Teaco Rd, Kennett, MO 63857-3236 | 2008-04-23 |
| 1063414704 | Kennett Pediatrics and Adolescents Medicine LLC | Pediatrics | 211 Teaco Rd, Kennett, MO 63857-3236 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537222 | Natalie Joan Wilson | Pediatrics | 1463 Us Hwy 61, Suite C, Festus, MO 63028-6302 | 2020-08-04 |
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1033731500 | Jessica N Zeiss | Pediatrics | 981 Highway K, Rhineland, MO 65069-2214 | 2020-05-07 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1811528656 | Children's Mercy-cockerell and Mcintosh Pediatrics, Inc | Pediatrics | 205 Nw R D Mize Rd Ste 304, Blue Springs, MO 64014-2520 | 2020-01-30 |
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1023574365 | Saint Francis Medical Center | Pediatrics | 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901-1908 | 2019-02-12 |
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
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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.