DR. PAUL KEVIN BEACH (NPI# 1770672982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770672982 |
| Entity Type | Individual |
| Full Name | DR. PAUL KEVIN BEACH |
| Credential | M.D. |
| Practice Address |
2500 Starling Street Suite 201 Brunswick GA 31520-4267 |
| Practice Telephone | 9122655125 |
| Practice Fax Number | 9122610907 |
| Mailing Telephone | 9122655125 |
| Mailing Fax Number | 9122610907 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
23698 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | P00067751 | 01 |
| SC | DEPARTMENT OF LABOR | 610303400 | 01 |
| SC | AETNA | 0489056 | 01 |
| SC | 236989 | 05 | |
| SC | PA1729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679937445 | Paul Beach | Psychiatry & Neurology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2016-04-07 |
| 1265641286 | Paul W Beach Jr. | Family Medicine | 1591 Fulton Ave, Bronx, NY 10457-8234 | 2007-05-22 |
| Street Address |
2500 STARLING STREET SUITE 201 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205837150 | Steven F Mosher | Internal Medicine | 2500 Starling Street, Suite 304, Brunswick, GA 31520-4294 | 2005-08-02 |
| 1538448402 | Neil E. Goodman | Pediatrics | 2500 Starling Street, Suite 401, Brunswick, GA 31520-4269 | 2011-08-10 |
| 1003131988 | Pauline Laggui Jacinto | Specialist | 2500 Starling Street, Suite 304, Brunswick, GA 31520 | 2010-04-02 |
| 1972785368 | Island Medical, P.C. | Family Medicine | 2500 Starling Street, Suite 402, Brunswick, GA 31520-4219 | 2007-11-28 |
| 1033258074 | Matthew D Katz | Urology | 2500 Starling Street, Suite 602, Brunswick, GA 31520 | 2007-02-06 |
| 1841357563 | Vincent K. Arlauskas | Surgery | 2500 Starling Street, Suite 201, Brunswick, GA 31520-4267 | 2007-01-02 |
| 1558428326 | Eric C Segerberg | Surgery | 2500 Starling Street, Suite 201, Brunswick, GA 31520-4267 | 2007-01-02 |
| 1609933308 | Stephen G. Barrett | Surgery | 2500 Starling Street, Brunswick, GA 31520-4267 | 2007-01-02 |
| 1326159120 | Karla K. Hansen | Otolaryngology | 2500 Starling Street, Suite 601, Brunswick, GA 31520-4271 | 2006-08-31 |
| 1063433688 | Walter W. Scott Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 Starling Street, Suite 306, Brunswick, GA 31520-4294 | 2006-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932218617 | Costal Georgia Vein Center, Inc | Surgery | 650 Scranton Rd, Suite B, Brunswick, GA 31520-1927 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1902423387 | Center for Vein Restoration Ga Corp | Surgery | 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 | 2020-07-01 |
| 1487133278 | Usa Vascular Center of Decatur LLC | Surgery | 495 Winn Way Ste 230, Decatur, GA 30030-1736 | 2018-08-13 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1689012205 | Daniel Joseph Badia | Surgery | 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 | 2013-06-05 |
| 1740507425 | Christopher Ray Ramos | Surgery | 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 | 2010-04-21 |
| 1184879678 | Rockdale Vascular and Thoracic Surgery, LLC | Surgery | 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2008-11-25 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1487819132 | Yazan Duwayri | Surgery | Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 | 2008-07-22 |
| Find all providers with the same taxonomy | ||||
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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.