MICHAEL A BEASLEY (NPI# 1477554830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477554830 |
| Entity Type | Individual |
| Full Name | MICHAEL A BEASLEY |
| Credential | DO |
| Practice Address |
606 Black River Rd Georgetown SC 29440-3304 |
| Mailing Address |
Po Box 1718 Georgetown SC 29442-1718 |
| Practice Telephone | 8435277000 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | T6002 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 006923 | 05 |
| 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 |
| 1336622281 | Michael D Beasley Jr. | Physician Assistant | 4004 Dupont Cir Ste 220, Louisville, KY 40207-4819 | 2018-09-06 |
| 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 |
| Street Address |
606 BLACK RIVER RD |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301731 | Mary L Michael | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2005-07-22 |
| 1518489814 | Pauline A Seebode | Nurse Practitioner | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-07-09 |
| 1588191134 | Michael Patrick Stribos | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-05-15 |
| 1104365857 | Kristen Miller | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-02-14 |
| 1083096192 | Adam Christopher Hughes | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440 | 2015-06-25 |
| 1619364031 | Agnes Edwards | Social Worker | 606 Black River Rd, Georgetown, SC 29440 | 2015-04-23 |
| 1700293081 | Christopher Devault | Specialist/Technologist | 606 Black River Rd, Georgetown, SC 29440-3304 | 2014-07-17 |
| 1790070415 | Lananh Nguyen | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2011-06-10 |
| 1255634069 | Family Pharmacy At Gmh | Pharmacy | 606 Black River Rd, Georgetown, SC 29440-3304 | 2010-12-16 |
| 1699903898 | Matthew Bernstein | Pathology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589308 | Jon C Thompson | Emergency Medicine | 232 Harmony Ridge Dr, Georgetown, KY 40324-9688 | 2013-07-05 |
| 1497073209 | Jeremy Alan Padalecki | Emergency Medicine | 1100 Teravista Xing, Georgetown, TX 78626-7704 | 2010-05-05 |
| 1528229432 | Rohit S Patel | Emergency Medicine | 4506 Williams Dr Ste 120, Georgetown, TX 78633-1306 | 2008-06-23 |
| 1740483122 | Ryan Sanford Prudoff | Emergency Medicine | 1210 W University Ave, Georgetown, TX 78628-5333 | 2007-06-06 |
| 1144313982 | Ann Louise Nolen | Emergency Medicine | 7600 Highway 29 W, Suite 5, Georgetown, TX 78628-6937 | 2006-10-02 |
| 1932116027 | Stat Med P.a. | Emergency Medicine | 902b N Austin Ave, Georgetown, TX 78626-4333 | 2006-08-01 |
| 1194768044 | Scott Harrison | Emergency Medicine | 122 Cherry Hill Dr, Georgetown, KY 40324-9654 | 2006-06-14 |
| 1093765935 | Michael Miller | Emergency Medicine | 360 Westbury Ln, Georgetown, TX 78628-4374 | 2006-05-11 |
| 1588191134 | Michael Patrick Stribos | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-05-15 |
| 1831519826 | Candice Weiner-johnson | Emergency Medicine | 908 Rockmoor Dr, Georgetown, TX 78628-8966 | 2014-04-17 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.