DR. JOHN E BEAVERS (NPI# 1386615839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386615839 |
| Entity Type | Individual |
| Full Name | DR. JOHN E BEAVERS |
| Credential | MD |
| Practice Address |
7530 Nw 23rd St Bethany OK 73008-4921 |
| Mailing Address |
Po Box 892410 Oklahoma City OK 73189-2410 |
| Practice Telephone | 4057306990 |
| Practice Fax Number | 4057033116 |
| Mailing Telephone | 4057359348 |
| Mailing Fax Number | 4057033116 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18578 | OK | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 18578 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Eastern Ave, Moore, OK 731605833 | 4057306990 | 4057033116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003066143 | John P Beavers | Emergency Medicine | 5717 Oakland Dr, Portage, MI 49024-1116 | 2008-09-25 |
| Street Address |
7530 NW 23RD ST |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802356 | James Milton Gilbert | Psychiatry & Neurology | 7530 Nw 23rd St, Ste B, Bethany, OK 73008-4921 | 2005-09-22 |
| 1396385431 | Your Health LLC | Clinic/Center | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2020-01-07 |
| 1013570035 | Amaza Tripp | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2019-04-16 |
| 1932604808 | Lynna G Hunt | Radiology | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2018-03-24 |
| 1851823587 | Heather Dawn Foster | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008 | 2017-03-31 |
| 1417366352 | At Home Care Mht LLC | Family Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2014-08-05 |
| 1336415280 | Isaac Ilaoa | Internal Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2012-03-26 |
| 1447541750 | Stuart Joseph Lisle | Family Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2011-04-21 |
| 1669783726 | Brooke Elayne Caldwell | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2010-06-23 |
| 1598089955 | Meredith L. Mogan | Physician Assistant | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2010-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750359626 | Terry E. Hall, M.d | Family Medicine | 2703 Miller St, Bethany, MO 64424-2704 | 2006-03-08 |
| 1417949744 | Heather Rene Lynch | Family Medicine | 2701 N Rockwell Ave, Bethany, OK 73008-5246 | 2005-08-23 |
| 1164062972 | Kelly Ann Clark | Family Medicine | 3202 Miller St, Bethany, MO 64424-2713 | 2020-01-09 |
| 1154985588 | Horizon Medical LLC | Family Medicine | 6824 Nw 23rd St, Bethany, OK 73008-5217 | 2019-05-01 |
| 1366950743 | Bucy Annie Rajan Thomas | Family Medicine | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2018-01-19 |
| 1417366352 | At Home Care Mht LLC | Family Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2014-08-05 |
| 1215358882 | Harrison County Community Hospital District | Family Medicine | 2703 Miller St, Bethany, MO 64424-2704 | 2013-12-26 |
| 1982047791 | Christopher Michael Gifford | Family Medicine | 2600 Miller St, Bethany, MO 64424-2701 | 2013-04-10 |
| 1063704161 | Kenneth Chad Lambert | Family Medicine | 3202 Miller St, Bethany, MO 64424-2713 | 2011-05-07 |
| 1447541750 | Stuart Joseph Lisle | Family Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2011-04-21 |
| Find all providers in BETHANY | ||||
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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.