CAROLINE E BEALL


Address: 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075
Phone: 6162523900

CAROLINE E BEALL (NPI# 1306080213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306080213
Entity Type Individual
Full Name CAROLINE E BEALL
Credential DO
Practice Address 11160 Wj Presley Pkwy Ste 100
Allendale
MI 49401-8075
Mailing Address 5900 Byron Center Ave Sw
Medical Administration
Wyoming
MI 49519-9606
Practice Telephone 6162523900
Practice Fax Number 6162523920
Mailing Telephone 6162523900
Mailing Fax Number 6162523920
Enumeration Date 2009-04-22
Last Update Date 2020-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
5101020083 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1306080213 05

Office Location

Street Address 11160 WJ PRESLEY PKWY STE 100
City ALLENDALE
State MI
Zip Code 49401-8075

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326695867 Rachel Anne Burgess Family Medicine 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 2019-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336668615 Zoe Madeline Menard Behavior Technician 5068 West Campus Drive, D28, Allendale, MI 49401 2017-09-18
1396123964 Lauren Meredith Warner Family Medicine 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 2015-05-14
1871709600 Jan Ellen Taylor Schultz Social Worker 3925 Hagan Street, Suite 203, Bloomington, IN 49401 2007-05-16
1881814630 Allendale Eye Care, LLC Optometrist 11301 Commerce Rd., Suite A, Allendale, MI 49401 2007-04-26
1609807627 Kevin R Brader Obstetrics & Gynecology 11160 Wj Presley Pkwy, Allendale, MI 49401 2006-07-06
1245204262 Meghan Marea Berry Specialist Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 2006-02-15
1669446704 Brian Michael Hatzel Specialist/Technologist 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 2006-02-15
1396230181 Marilyn J Helmers Occupational Therapist 11007 Radcliff Dr, Allendale, MI 49401 2018-06-25
1992227789 Ryan Scott Carlson Nurse Practitioner 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 2017-07-12
1750826343 Hannah Jo Bader Physician Assistant 10383 42nd Ave, Allendale, MI 49401 2017-01-05
Find all providers in zip 49401

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013413236 Sports and Regenerative Medicine Pllc Family Medicine 526 W Genesee St Ste 3, Frankenmuth, MI 48734-1357 2018-04-05
1982138442 Stephen Michael Spadafore Family Medicine 2951 Earhart Rd, Ann Arbor, MI 48105-9728 2017-04-11
1447606801 Central Michigan University Family Medicine Cmu Sports Medicine, Rose 100, Mt Pleasant, MI 48859-0001 2016-05-04
1962808162 Mclaren Greater Lansing Family Medicine 2479 Woodlake Cir, Suite 340, Okemos, MI 48864 2014-11-15
1104038629 Robert Edward Poley Family Medicine 15959 Hall Rd Ste 405, Macomb, MI 48044 2007-05-04
1063563187 Lee Stephen Fruman Family Medicine 24670 S Cromwell Dr, Franklin, MI 48025-1644 2007-01-15
1366505802 Sports Medicine Associates,plc Family Medicine 3121 University Dr, Ste 140, Auburn Hills, MI 48326-2385 2006-12-18
1538220561 Thomas K Jamieson Family Medicine 2720 Pleasant Grove Rd, Lansing, MI 48910-2410 2006-12-13
1366550105 D-care PC Family Medicine 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 2006-08-29
1144243114 Jules Reinhardt D O PC Family Medicine 1457 Suncrest Dr, Lapeer, MI 48446-1151 2006-07-25
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City ALLENDALE
Zip Code 49401

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Dataset Information

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.

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