MICHAEL D BEASLEY JR. (NPI# 1336622281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336622281 |
| Entity Type | Individual |
| Full Name | MICHAEL D BEASLEY JR. |
| Credential | PA-C |
| Practice Address |
4004 Dupont Cir Ste 220 Louisville KY 40207-4819 |
| Mailing Address |
7801 Brownsboro Rd Louisville KY 40241-2823 |
| Practice Telephone | 5028930159 |
| Mailing Telephone | 6156861396 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TC780 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205243441 | Michael Beasley | Hearing Instrument Specialist | 1971 Riviera Dr Unit 1, Mt Pleasant, SC 29464-7470 | 2014-07-21 |
| 1457388399 | Michael Luther Beasley | Dentist | 1419 E Erie St, Springfield, MO 65804-6487 | 2006-06-27 |
| 1063855708 | Michael Harry Beasley | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2013-04-11 |
| 1407183353 | Michael Alan Beasley | Pediatrics | 319 Longwood Ave, Dept of Sports Medicine, Boston, MA 02115-5728 | 2009-11-13 |
| 1972747178 | Michael John Beasley | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1740364876 | Michael Edward Beasley | Specialist | 2215 Randolph Rd, Charlotte, NC 28207-1523 | 2006-10-25 |
| 1306889035 | Michael S Beasley | Otolaryngology | 500 Donnally St, Suite 200, Charleston, WV 25301 | 2006-06-13 |
| 1205879871 | Michael Warren Beasley | Emergency Medicine | 611 Court St, West Branch, MI 48661-9390 | 2006-06-13 |
| 1598726630 | Michael W Beasley | Dentist | 1855 S Nevada Ave, Colorado Springs, CO 80906-2516 | 2006-03-29 |
| 1477554830 | Michael A Beasley | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2005-08-09 |
| Street Address |
4004 DUPONT CIR STE 220 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255503918 | Janet Martis Hedger | Audiologist | 4004 Dupont Cir Ste 220, Louisville, KY 40207-4819 | 2008-04-02 |
| 1538512967 | Grace Isaacs | Physician Assistant | 4004 Dupont Cir Ste 220, Louisville, KY 40207-4819 | 2016-07-20 |
| 1629472956 | Lauren Hamilton | Physician Assistant | 4004 Dupont Cir Ste 220, Louisville, KY 40207-4819 | 2014-10-15 |
| 1023428695 | Casey Yeakel Hay | Otolaryngology | 4004 Dupont Cir Ste 220, Louisville, KY 40207 | 2014-05-05 |
| 1558621912 | Matthew Gregory Yantis | Otolaryngology | 4004 Dupont Cir Ste 220, Louisville, KY 40207-4819 | 2012-05-20 |
| 1174811434 | Kristen Evans Hilsher | Audiologist | 4004 Dupont Cir Ste 220, Louisville, KY 40207-4819 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1750749362 | Erin Mary Quinn | Physician Assistant | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2016-02-10 |
| 1043465164 | Myron Jeffrey Hardesty | Physician Assistant | 7505 New Lagrange Road, Louisville, KY 40222 | 2008-11-18 |
| 1992966279 | Sharin Lynn Berger | Physician Assistant | 928 Treece St, Louisville, CO 80027-8511 | 2008-06-19 |
| 1528112166 | Wendy M Warren | Physician Assistant | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207-4724 | 2007-01-22 |
| 1942245253 | Connie Ann Melton | Physician Assistant | 1025 S 2nd St, Louisville, KY 40203-2823 | 2006-06-19 |
| 1588604896 | Community Ear Nose Throat & Allergy,pllc | Physician Assistant | 4950 Norton Healthcare Blvd., Suite 209, Louisville, KY 40241 | 2006-06-07 |
| 1760420202 | Andrea Byrd Doak | Physician Assistant | 1067 Peachtree St, Louisville, GA 30434 | 2006-06-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on MICHAEL D BEASLEY JR..
| 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.