DR. MICHAEL EDWARD BEANE (NPI# 1669471561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669471561 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD BEANE |
| Credential | MD |
| Practice Address |
1500 Grand Central Ave Vienna WV 26105-1079 |
| Mailing Address |
2 Merrywood Ln Vienna WV 26105-9488 |
| Practice Telephone | 3044853627 |
| Practice Fax Number | 3042952315 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2011-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35073683 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 19118 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0048235000 | 05 |
| Street Address |
1500 GRAND CENTRAL AVE |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124521448 | Bryan Scott Van Dine | Hearing Instrument Specialist | 1500 Grand Central Ave, Vienna, WV 26105-1079 | 2018-03-13 |
| 1417320805 | Michael Bret Ramsey | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2015-11-06 |
| 1033582440 | Andrew Robinson | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2015-11-06 |
| 1497164883 | Karyn Plotz | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2014-08-11 |
| 1861800591 | Daniel Dafo,dds, Inc. | Dentist | 1500 Grand Central Ave, Suite 104, Vienna, WV 26105-1079 | 2014-07-25 |
| 1770913337 | Amanda Mcdonald | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2013-11-19 |
| 1336586635 | Heidi M Floyd | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2013-05-28 |
| 1609123868 | Lisa Hargus | Physical Therapist | 1500 Grand Central Ave, Suite 101, Vienna, WV 26105-1079 | 2012-08-07 |
| 1033489281 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 1500 Grand Central Ave, Suite 115, Vienna, WV 26105-1079 | 2012-01-05 |
| 1306114483 | Vickie Lynn Sorrell | Registered Nurse | 1500 Grand Central Ave, Suite115, Vienna, WV 26105-1079 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| 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 |
|---|---|---|---|---|
| 1235759903 | Healing Hands Medical Center | Family Medicine | 1964 Gallows Rd Ste 300, Vienna, VA 22182-3814 | 2020-04-22 |
| 1003264730 | Anh Truong | Family Medicine | 115 Park St Se Ste 300, Vienna, VA 22180-4653 | 2016-06-03 |
| 1194136986 | Kimaya M Vaidya | Family Medicine | 2671 Avenir Pl Ste B, Vienna, VA 22180-7485 | 2014-05-14 |
| 1780815738 | Saira Thompson | Family Medicine | 2671 Avenir Pl, Vienna, VA 22180-7485 | 2009-08-06 |
| 1013144419 | Eric M Thomson | Family Medicine | 115 Park Street Se, Suite 300, Vienna, VA 22180 | 2009-06-12 |
| 1942412333 | Lynese L Lawson | Family Medicine | 2104 Gallows Rd, Vienna, VA 22182-3929 | 2007-05-05 |
| 1184848004 | Barnett G Mennen | Family Medicine | 1880 Howard Ave, Suite 300, Vienna, VA 22182-2667 | 2007-04-12 |
| 1013032283 | Fairfax Family Practice Centers PC | Family Medicine | 115 Park Street, Suite 300, Vienna, VA 22180 | 2007-03-20 |
| 1609911601 | Fakhria Masumi Khorrami | Family Medicine | 180 Maple Ave W, Vienna, VA 22180-5727 | 2007-02-20 |
| 1700942711 | Homaira Behsudi-wali | Family Medicine | 1608 Spring Hill Rd, Emergency Usa Family Medical Center, Vienna, VA 22182 | 2006-12-28 |
| Find all providers in VIENNA | ||||
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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.