MRS. MARY CATHERINE BEATTY (NPI# 1457374795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457374795 |
| Entity Type | Individual |
| Full Name | MRS. MARY CATHERINE BEATTY |
| Credential | PT |
| Practice Address |
80 Santa Anita Dr Maryville IL 62062-1929 |
| Practice Telephone | 6182886080 |
| Practice Fax Number | 6182888066 |
| Mailing Telephone | 6182886080 |
| Mailing Fax Number | 6182888066 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437180 | Mary Ellen Beatty | Plastic Surgery | 13020 N Telecom Parkway, Temple Terrace, FL 33637 | 2005-06-16 |
| 1477016343 | Mary Ann Beatty | Physical Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-09 |
| Street Address |
80 SANTA ANITA DR |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720131857 | Norman Alan Barnes | Specialist | 726 E Lamar Alexander Pkwy, Maryville, TN 37804-5004 | 2007-01-20 |
| 1548234495 | Sharon Renee Wood | Specialist | 502 E Lamar Alexander Pkwy, Maryville, TN 37804-5907 | 2006-02-16 |
| 1568432037 | Ei Shun Lin | Specialist | 16b Professional Park Dr, Lin Pain Clinic, Ltd, Maryville, IL 62062 | 2006-01-25 |
| 1427043801 | Colleen Nobuko Shimazu | Specialist | 653 Morganton Square Dr, Maryville, TN 37801-4763 | 2005-09-13 |
| 1063416618 | Louis E Haun | Specialist | 628 Smithview Dr, Maryville, TN 37803-6100 | 2005-06-10 |
| 1619970761 | Lorraine M Dodson | Specialist | 2016 S Main St, Maryville, MO 64468-2655 | 2005-05-23 |
| 1649547340 | David L Snow Md PC | Specialist | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2011-11-23 |
| 1215233747 | Melanie Bibee | Specialist | 339 High St, Maryville, TN 37804-5831 | 2011-01-31 |
| 1770804452 | Collins Pain Management, S.c. | Specialist | 16b Professional Park Dr, Maryville, IL 62062-5672 | 2010-06-17 |
| 1922260314 | Allergy Associates Pa | Specialist | 653 Morganton Square Dr, Maryville, TN 37801-4763 | 2008-06-27 |
| Find all providers in MARYVILLE | ||||
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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.