NICHOLAS S BEECHNAU (NPI# 1164784724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164784724 |
| Entity Type | Individual |
| Full Name | NICHOLAS S BEECHNAU |
| Credential | D.O. |
| Practice Address |
12520 Crockery Creek Dr Ravenna MI 49451-5100 |
| Practice Telephone | 2318536725 |
| Practice Fax Number | 2318536089 |
| Mailing Telephone | 2318536725 |
| Mailing Fax Number | 2318536089 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101020050 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101020050 | MI | Student, Health Care |
| Street Address |
12520 CROCKERY CREEK DR |
| City | RAVENNA |
| State | MI |
| Zip Code | 49451-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356740245 | Crockery Creek Elder Care, Inc | Assisted Living Facility | 12291 Crockery Creek Dr., Ravenna, MI 49451 | 2014-08-18 |
| 1114251139 | Alisha Lewise Warner | Nurse's Aide | 155 S. Trent Rd., Ravenna, MI 49451 | 2009-09-23 |
| 1346413309 | Kelley Marie Young | Nurse Practitioner | 12520 Crockery Creek Drive, Ravenna, MI 49451 | 2008-04-10 |
| 1508084310 | Bonnie Jean Pline | Family Medicine | 1042 S. Ravenna Rd., Ravenna, MI 49451 | 2007-04-24 |
| 1083619936 | Timothy L Beechnau | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2005-06-16 |
| 1417279407 | Apple Family Medicine, P.l.c. | Clinic/Center | 1042 S Ravenna Rd, Ravenna, MI 49451 | 2010-02-18 |
| 1497928469 | Ravenna Family Practice, P.C. | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2008-04-10 |
| 1063455129 | Craig R Cameron Dds Plc | Dentist | 12374 Stafford Street, Ravenna, MI 49451-0204 | 2006-06-14 |
| 1083809917 | Craig Robert Cameron | Dentist | 12374 Stafford Street, Ravenna, MI 49451-0204 | 2007-09-13 |
| 1023287836 | Robert D & Cindy L Douglas | Technician/Technologist | 12412 Stafford, Ravenna, MI 49451-0307 | 2008-02-26 |
| Find all providers in zip 49451 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447460126 | Patrick Joseph Janovick | Family Medicine | 3773 Sandy Lake Rd, Ravenna, OH 44266-8624 | 2007-05-23 |
| 1508084310 | Bonnie Jean Pline | Family Medicine | 1042 S. Ravenna Rd., Ravenna, MI 49451 | 2007-04-24 |
| 1487791448 | Kyle Stanley Pline | Family Medicine | 1042 S Ravenna Rd, Ravenna, MI 49451-9583 | 2007-01-31 |
| 1164595880 | Daniel Joseph Raub | Family Medicine | 705 Oakwood St, 2nd Floor, Ravenna, OH 44266-2191 | 2006-11-17 |
| 1083619936 | Timothy L Beechnau | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2005-06-16 |
| 1366738825 | Gordon Marler | Family Medicine | 6847 N Chestnut St, Suite 200, Ravenna, OH 44266-3929 | 2011-06-23 |
| 1124260435 | Ian Seth Suzelis | Family Medicine | 6847 N. Chestnut Street, Suite 200, Ravenna, OH 44266 | 2009-04-01 |
| 1497928469 | Ravenna Family Practice, P.C. | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2008-04-10 |
| 1356413975 | William A. Raux | Family Medicine | 6847 N Chestnut St, Suite 200, Ravenna, OH 44266-3929 | 2006-11-15 |
| 1710935077 | Amber Dawn Blair | Family Medicine | 6693 N Chestnut St Ste 125a, Ravenna, OH 44266-3900 | 2006-05-05 |
| Find all providers in RAVENNA | ||||
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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.