DR. MARK EDWARD BEATTY (NPI# 1649789595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649789595 |
| Entity Type | Individual |
| Full Name | DR. MARK EDWARD BEATTY |
| Practice Address |
3020 Rucker Ave Ste 306 Everett WA 98201-3900 |
| Practice Telephone | (425) 339-8799 |
| Practice Fax Number | 4253395263 |
| Mailing Telephone | 4253398799 |
| Mailing Fax Number | 4253395263 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 52107 | GA | Allopathic & Osteopathic Physicians |
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
52107 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE | 52107 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1740367804 | Mark William Beatty | Dentist | 4101 Woolworth, Omaha, NE 68105 | 2006-11-01 |
| 1356349773 | Mark Stephen Beatty | Surgery | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2005-07-09 |
| Street Address |
3020 RUCKER AVE STE 306 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366804510 | Arsany Basily | Pediatrics | 1815 13th St, Everett, WA 98201-1679 | 2016-03-27 |
| 1548691785 | Children's Community Care | Pediatrics | 249 Hospital Dr Lowr Level, Everett, PA 15537-7020 | 2013-12-12 |
| 1912235060 | Molina Healthcare of Washington, Inc | Pediatrics | 3322 Broadway, Suite 200, Everett, WA 98201-4425 | 2009-12-01 |
| 1689700155 | Upmc Community Medicine Inc | Pediatrics | 14 E 3rd Ave, Everett, PA 15537-1305 | 2007-02-26 |
| 1164479002 | Peter E Masucci, Md, PC | Pediatrics | 391 Broadway, Suite 301, Everett, MA 02149-3470 | 2006-05-27 |
| 1598753733 | Yvonne Qing Ma | Pediatrics | 1019 112th St Sw, Everett, WA 98204-4875 | 2005-10-12 |
| 1649665829 | Elizabeth Abernathey | Pediatrics | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2015-04-03 |
| 1366861494 | Rachel Skalina | Pediatrics | 1424 Broadway, Everett, WA 98201-1720 | 2014-04-16 |
| 1730507393 | Sarah Louise Pinney | Pediatrics | 1818 121st St Se, Everett, WA 98208-5985 | 2014-04-01 |
| 1245657485 | Kathryn Sun | Pediatrics | 3901 Hoyt Ave, Everett, WA 98201 | 2014-03-26 |
| Find all providers in EVERETT | ||||
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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.