DR. PHILLIP MARION BEYER (NPI# 1407805732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407805732 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP MARION BEYER |
| Credential | D.O. |
| Practice Address |
735 W Main St Fredericktown MO 63645-1113 |
| Practice Telephone | 5737838875 |
| Practice Fax Number | 5737838890 |
| Mailing Telephone | 5737838875 |
| Mailing Fax Number | 5737838890 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32441 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 240561530 | 05 |
| Street Address |
735 W MAIN ST |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063075752 | Brandi Nichole Tabor | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2019-04-17 |
| 1134695703 | Community Health Care Associates, Inc | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2018-10-22 |
| 1205183399 | Jamee Lynn Clark | Nurse Practitioner | 735 W Main St, Fredericktown, MO 63645-1113 | 2012-08-08 |
| 1467756809 | Frank T Klima | Nurse Practitioner | 735 W Main St, Fredericktown, MO 63645-1113 | 2010-12-28 |
| 1588732903 | Starla Kay Dulworth | Nurse Practitioner | 735 W Main St, Fredericktown, MO 63645-1113 | 2006-12-01 |
| 1891704748 | Deborah A Reichert | Social Worker | 735 W Main St, Fredericktown, MO 63645-1113 | 2006-08-07 |
| 1306885157 | Edward Burke | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2006-06-06 |
| 1619925930 | Shirley Henry | Counselor | 735 W Main St, Fredericktown, MO 63645-1113 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1679737324 | Linda Carole Cravens | Dentist | 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 | 2008-07-11 |
| 1629286976 | Community Health Care Associates, Inc | Social Worker | 735 West Main, Fredericktown, MO 63645 | 2007-05-18 |
| 1467539031 | Madison Medical Center Stockhoff Memorial Nursing Home | Clinic/Center | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-01 |
| 1487749537 | Covenant Care Services, LLC | Registered Nurse | 120 S. Mine Lamotte, Fredericktown, MO 63645 | 2006-10-04 |
| 1215577945 | Modern Mental Health | Community/Behavioral Health | 151 South Main Street, Suite B, Fredericktown, MO 63645 | 2020-01-10 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1003983859 | Madison Memorial Hospital Stockhoff Memorial Nursing Home | Pharmacy | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-29 |
| Find all providers in zip 63645 | ||||
| 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 |
|---|---|---|---|---|
| 1114060472 | Fredericktown Family Practice | Family Medicine | 16361 Village Pkwy, Fredericktown, OH 43019-9585 | 2007-02-15 |
| 1881705564 | Michael D Robbins | Family Medicine | 355 N Chamber Dr, Fredericktown, MO 63645-7947 | 2006-08-31 |
| 1821032152 | Matthew Bradley Smith | Family Medicine | 122 Columbus Rd, Fredericktown, OH 43019-1266 | 2006-06-16 |
| 1023009198 | Yong Dae Cho | Family Medicine | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-10-28 |
| 1063075752 | Brandi Nichole Tabor | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2019-04-17 |
| 1134695703 | Community Health Care Associates, Inc | Family Medicine | 735 W Main St, Fredericktown, MO 63645-1113 | 2018-10-22 |
| 1124273875 | Amber Lyn Daugherty | Family Medicine | 16361 Village Pkwy, Fredericktown, OH 43019-9585 | 2008-11-21 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1932277498 | Eric K Davis | Family Medicine | 611 W Main St, Fredericktown, MO 63645-1111 | 2006-12-01 |
| 1952408957 | Aaron L Wilson | Family Medicine | 122 Columbus Rd, American Health Network of Ohio PC, Fredericktown, OH 43019-1266 | 2006-09-20 |
| Find all providers in FREDERICKTOWN | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
Please comment or provide details below to improve the information on DR. PHILLIP MARION BEYER.
| 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.