MARY ELLEN BEATTY (NPI# 1265437180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265437180 |
| Entity Type | Individual |
| Full Name | MARY ELLEN BEATTY |
| Credential | MD |
| Practice Address |
13020 N Telecom Parkway Temple Terrace FL 33637 |
| Practice Telephone | 8139789700 |
| Practice Fax Number | 8135586124 |
| Mailing Telephone | 8139789700 |
| Mailing Fax Number | 8135586124 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
ME39434 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1732948 | 01 |
| FL | BC/BS | 30884 | 01 |
| FL | 042695400 | 05 | |
| FL | AVMED | 209671 | 01 |
| FL | MEDICARE RAILROAD | 240001743 | 01 |
| FL | AETNA | 4240438 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457374795 | Mary Catherine Beatty | Specialist | 80 Santa Anita Dr, Maryville, IL 62062-1929 | 2006-07-26 |
| 1477016343 | Mary Ann Beatty | Physical Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-09 |
| Street Address |
13020 N TELECOM PARKWAY |
| City | TEMPLE TERRACE |
| State | FL |
| Zip Code | 33637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588050256 | John Playfair Ross | Orthopaedic Surgery | 13020 N Telecom Parkway, Temple Terrace, FL 33637-3363 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677846 | Ivory Jewels Hha LLC | Home Health | 7320 E. Fletcher Ave Suite 127, Tampa, FL 33637 | 2019-06-06 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| 1669854857 | Tatessica Cooley | Counselor | 7403 Temple Terrace Highway, Suite B, Tampa, FL 33637 | 2015-06-24 |
| 1336526854 | Lisa Magliarditi | Physical Therapist | 12110 Morris Brige Road, 3rd Floor Therapy Suite, Tampa, FL 33637 | 2015-05-05 |
| 1225472277 | Amber Kuzma | Behavioral Analyst | 7025 Ponderosa Dr, Tampa, FL 33637 | 2013-04-22 |
| 1326315516 | Christopher L. Leitten | Psychologist | 9710 Woodland Ridge Dr., Tampa, FL 33637 | 2011-11-16 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 1912129800 | Alison Brothers | Speech-Language Pathologist | 8800 Grand Oak Circle, Suite 450, Tampa, FL 33637 | 2007-05-02 |
| 1427187020 | Nauman A. Siddiqi | Internal Medicine | 7523 Terrace River Drive, Temple Terrace, FL 33637 | 2007-03-02 |
| 1205945243 | Florida Orthopaedic Institute Surgery Center LLC | Clinic/Center | 13060 Telecom Parkway, Temple Terrace, FL 33637 | 2006-08-30 |
| Find all providers in zip 33637 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658648 | Daniel Calva-cerqueira, M.d., P.a. | Plastic Surgery | 7300 N Kendall Dr Ste 201, Miami, FL 33156-7840 | 2016-09-23 |
| 1801158274 | Keys Plastic Surgery, Inc. | Plastic Surgery | 10095 Overseas Hwy, Marathon, FL 33050-3336 | 2012-06-12 |
| 1245507250 | Thomas L. Zoeller, Md,pa | Plastic Surgery | 2760 Se 17th St Ste 102, Ocala, FL 34471-5550 | 2011-11-18 |
| 1972780526 | Clifton L Cannon IIi | Plastic Surgery | 13055 Sw 42nd St Ste 101, Miami, FL 33175-3409 | 2008-01-25 |
| 1528086196 | Jaime Perez | Plastic Surgery | 307 S Macdill Ave, Tampa, FL 33609-3141 | 2006-07-18 |
| 1487683801 | David Eric Halpern | Plastic Surgery | 120 S Fremont Ave, Tampa, FL 33606-1703 | 2006-06-30 |
| 1568435832 | Antonio J Gayoso | Plastic Surgery | 1515 22nd Ave N, St Petersburg, FL 33704-3113 | 2006-02-08 |
| 1215475504 | Orlando Plastic Surgery Institute, Pa | Plastic Surgery | 801 N Orange Ave, Suite 530, Orlando, FL 32801-1026 | 2017-02-07 |
| 1073064382 | A.desrosiers IIi, M.d., Corp | Plastic Surgery | 6705 S Red Rd, Suite 516, South Miami, FL 33143-3622 | 2016-10-21 |
| 1912453192 | Hand Care Specialists of Wesley Chapel LLC | Plastic Surgery | 2050 Ashley Oaks Cir, Ste 101, Wesley Chapel, FL 33544-6415 | 2016-08-29 |
| Find all providers with the same taxonomy | ||||
| City | TEMPLE TERRACE |
| Zip Code | 33637 |
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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.