MR. GREGORY BEACHAM II (NPI# 1164889390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164889390 |
| Entity Type | Individual |
| Full Name | MR. GREGORY BEACHAM II |
| Practice Address |
7700 Old Branch Ave Clinton MD 20735-1628 |
| Mailing Address |
8201 Sonar Rd Clinton MD 20735-2962 |
| Practice Telephone | 2026490506 |
| Mailing Telephone | 2026490506 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MT1474 | DC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | M04919 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7700 OLD BRANCH AVE |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468841 | Philip L Briley | Psychologist | 7700 Old Branch Ave, Ste B105, Clinton, MD 20735-1628 | 2005-06-22 |
| 1003264243 | Mind Over Matter Health Services | Community/Behavioral Health | 7700 Old Branch Ave, B204, Clinton, MD 20735-1628 | 2016-05-27 |
| 1982050472 | Hagar Healthcare | Occupational Therapist | 7700 Old Branch Ave, Suite E 208, Clinton, MD 20735-1628 | 2016-05-13 |
| 1013389121 | Brittany Deloatch | Counselor | 7700 Old Branch Ave, D103, Clinton, MD 20735-1628 | 2015-10-28 |
| 1750775268 | Southern Maryland Endoscopy Center Anesthesia | Internal Medicine | 7700 Old Branch Ave, Suite A103, Clinton, MD 20735-1628 | 2015-03-23 |
| 1356739098 | John P. Hakim, Md and Associates | Internal Medicine | 7700 Old Branch Ave, Suite E105, Clinton, MD 20735-1628 | 2015-01-05 |
| 1528466190 | Petra Patterson | Nursing Home Administrator | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-12-15 |
| 1427455088 | Deanna Sharpe | Nurse Practitioner | 7700 Old Branch Ave, D203, Clinton, MD 20735-1628 | 2014-11-25 |
| 1760889497 | Floss Family Dentistry, LLCs | Dentist | 7700 Old Branch Ave, D105, Clinton, MD 20735-1628 | 2014-11-24 |
| 1013313220 | Affinity Home Care LLC | Hospice Care, Community Based | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801333505 | Debbie Webster-wood | Massage Therapist | 2323 W 2220 N, Clinton, UT 84015-5706 | 2017-01-19 |
| 1891244208 | Kori Welch | Massage Therapist | 3872 Clinton Macon Rd, Clinton, MI 49236-9520 | 2016-09-27 |
| 1649650763 | Marsha D Davis | Massage Therapist | 6185 Pine Cone Dr, Clinton, MT 59825-9741 | 2015-06-03 |
| 1265838452 | Jodi Ann Thompson | Massage Therapist | 7248 Bailey Rd, Clinton, WA 98236-9716 | 2014-11-14 |
| 1407282296 | Roshaud L Lewis | Massage Therapist | 8969 Woodyard Rd, Clinton, MD 20735-4203 | 2013-09-24 |
| 1174827000 | Katherine S Tucker | Massage Therapist | 132 River Rd, Clinton, CT 06413-1053 | 2011-01-06 |
| 1275868655 | Celeen Marie Woodbury | Massage Therapist | 3929 Campbell Rd, Clinton, WA 98236-8642 | 2009-10-02 |
| 1225261498 | Monique Gaboury | Massage Therapist | 7149 Maxwelton Rd, Clinton, WA 98236-8813 | 2009-09-03 |
| 1861624561 | Darci M Duspiva | Massage Therapist | 11042 Sr 525 # Suiet106, Clinton, WA 98236-8618 | 2009-08-13 |
| 1235375833 | Amara S. Willey | Massage Therapist | 106 Leigh St, Clinton, NJ 08809-1312 | 2009-01-02 |
| Find all providers in CLINTON | ||||
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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.