DR. JONATHAN A. BEATTY (NPI# 1205028149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205028149 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN A. BEATTY |
| Credential | M.D. |
| Practice Address |
407 S 10th St Philadelphia PA 19147-1269 |
| Practice Telephone | 6106391117 |
| Practice Fax Number | 2157646447 |
| Mailing Telephone | 6106391117 |
| Mailing Fax Number | 2157646447 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD441308 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
MD441308 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861829400 | Jonathan Ryan Beatty | Nurse Practitioner | 4301 Jones Bridge Rd, Bethesda, MD 20814-4712 | 2013-09-27 |
| Street Address |
407 S 10TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061446 | Catherine Grace Depalma | Speech-Language Pathologist | 407 S 10th St, Philadelphia, PA 19147-1269 | 2020-01-03 |
| 1831608777 | Seed To Tree Psychotherapy | Counselor | 407 S 10th St, Philadelphia, PA 19147-1269 | 2017-09-22 |
| 1023533411 | Mylisa Kesselman | Counselor | 407 S 10th St, Philadelphia, PA 19147-1269 | 2017-08-07 |
| 1780057166 | Brian Daly, Lpc | Preferred Provider Organization | 407 S 10th St, Philadelphia, PA 19147-1269 | 2015-11-05 |
| 1548676950 | Allison Brunner | Social Worker | 407 S 10th St, Philadelphia, PA 19147-1269 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871713370 | Daniel Gruener | Psychiatry & Neurology | 2833 Tyson Ave, Philadelphia, PA 19149-1415 | 2007-04-26 |
| 1912371048 | Core Performance Physicians | Psychiatry & Neurology | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2015-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828421 | George L Rodriguez Md PC | Psychiatry & Neurology | 6778 Market St, Upper Darby, PA 19082-2432 | 2020-07-10 |
| 1316441017 | Jb Pain Free Md Pllc | Psychiatry & Neurology | 601 Cornerstone Ln, Bryn Mawr, PA 19010-2073 | 2018-03-19 |
| 1083793038 | Christina Lee Herring | Psychiatry & Neurology | 1030 E Lancaster Ave Apt L6, Bryn Mawr, PA 19010-1459 | 2006-11-02 |
| 1962596163 | Ajay D Wasan | Psychiatry & Neurology | 5750 Centre Ave, #260, Upmc Pain Medicine, Pittsburgh, PA 15206 | 2006-10-03 |
| 1558464404 | Alex D Perez | Psychiatry & Neurology | 296 E Brown St, Suite D, East Stroudsburg, PA 18301-3011 | 2006-09-06 |
| 1134114366 | Barry L Levine | Psychiatry & Neurology | 1738 N Highland Rd, Suite G-101, Pittsburgh, PA 15241-1200 | 2005-09-14 |
| 1326049388 | Pa Institute of Neurological Disorder PC | Psychiatry & Neurology | 512 Market St, Sunbury, PA 17801-2338 | 2005-08-02 |
| 1629222773 | Melvin Singer, M.d. P.a. | Psychiatry & Neurology | 906 Centennial Rd, Narberth, Penn Valley, PA 19072-1408 | 2008-11-14 |
| 1619165867 | Scott Jason Pello | Psychiatry & Neurology | 600 Louis Dr Ste 202, Warminster, PA 18974-2847 | 2007-10-11 |
| 1245356138 | Pain Medicine & Rehabilitation Specialists | Psychiatry & Neurology | 160 N Pointe Blvd, Suite 113, Lancaster, PA 17601-4134 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
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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.