JOHN MICHAEL BECKWITH (NPI# 1386157618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386157618 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL BECKWITH |
| Practice Address |
1508 W Anthony Dr Champaign IL 61821-1191 |
| Practice Telephone | 2173595800 |
| Practice Fax Number | 2173988901 |
| Mailing Telephone | 2173595800 |
| Mailing Fax Number | 2173988901 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
NONE | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993935 | John C. Beckwith | Chiropractor | 1804 N State St, Jackson, MS 39202-1146 | 2017-10-16 |
| 1326460106 | John Fuller Beckwith | Physical Therapist | 74 E 18th Ave Ste 10, Eugene, OR 97401 | 2014-01-13 |
| 1124134465 | John D Beckwith | Dentist | 485 Amwell Road, Hillsborough, NJ 08844 | 2006-08-21 |
| 1356687909 | John Beckwith | Hearing Instrument Specialist | 114 Royce St, Suite D, Los Gatos, CA 95030-6040 | 2012-12-28 |
| Street Address |
1508 W ANTHONY DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-1191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545310 | Ccm Champaign County Mobility Ll | Durable Medical Equipment & Medical Supplies | 1508 W Anthony Dr, Champaign, IL 61821-1191 | 2019-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897986 | Cr Vaughn Inc | Contractor | 600 Dunn Ln, Goreville, IL 62939-2487 | 2020-03-25 |
| 1306476692 | Wanake Schaeffer | Contractor | 705 Brittany Sq Apt 2, Grayslake, IL 60030-1356 | 2020-01-25 |
| 1033695325 | Keith Phillips | Contractor | 22 Veterans Dr, Harrisburg, IL 62946-3320 | 2018-07-19 |
| 1114431798 | Independent Living Solutions, Inc. | Contractor | 6327 N Pulaski Rd, Chicago, IL 60646-4511 | 2017-11-19 |
| 1811435779 | Corey Mitchell | Contractor | 4528 S Evans Ave, Chicago, IL 60653-3521 | 2017-02-10 |
| 1700321775 | Alan Stirling | Contractor | 447 S Center Ave, Bradley, IL 60915-2113 | 2016-12-30 |
| 1780133397 | David Adams | Contractor | 308 Willards Ferry Rd, Jonesboro, IL 62952-1113 | 2016-09-23 |
| 1689128894 | Timothy Scott Barton Jr. | Contractor | 3039 Golf Ter, Apt 12, Danville, IL 61832-1230 | 2016-08-05 |
| 1437520913 | Rebecca Backhus | Contractor | 206 W Wall St Apt 1, Morrison, IL 61270-2300 | 2015-10-09 |
| 1033464565 | Viola Nikita Hunter | Contractor | 176 North Laporte Ave, Chicago, IL 60644-3510 | 2012-07-20 |
| Find all providers with the same taxonomy | ||||
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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.