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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
5101020083 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1306080213 | 05 |
Street Address |
11160 WJ PRESLEY PKWY STE 100 |
City | ALLENDALE |
State | MI |
Zip Code | 49401-8075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326695867 | Rachel Anne Burgess | Family Medicine | 11160 Wj Presley Pkwy Ste 100, Allendale, MI 49401-8075 | 2019-08-20 |
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 Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
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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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.