STEVEN M BEATTY (NPI# 1851399232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851399232 |
| Entity Type | Individual |
| Full Name | STEVEN M BEATTY |
| Credential | M.D. |
| Practice Address |
513 N Main St Anna IL 62906-1668 |
| Practice Telephone | 6188334471 |
| Practice Fax Number | 6188336267 |
| Mailing Telephone | 6188334471 |
| Mailing Fax Number | 6188336267 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2016-04-25 |
| NPI Deactivation Date | 03/31/2006 |
| NPI Reactivation Date | 2006-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-068672 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-068672 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | C39851 | 01 |
| IL | TRICARE | C39851 | 01 |
| IL | UNITED HEALTHCARE RR MEDI | 110152598 | 01 |
| IL | HEALTH ALLIANCE | 028006 | 01 |
| IL | HEALTHLINK | 126592 | 01 |
| RAIL ROAD MEDICARE | P00150939 | 01 | |
| IL | IDPA FEE FOR SERVICE | 036068672 | 01 |
| IL | CHAMPVA | C39851 | 01 |
| Street Address |
513 N MAIN ST |
| City | ANNA |
| State | IL |
| Zip Code | 62906-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238625 | William Gerard Ribbing | Family Medicine | 513 N Main St, Anna, IL 62906-1668 | 2005-07-11 |
| 1609414069 | Morgan Atherton | Dietitian, Registered | 513 N Main St, Anna, IL 62906-1668 | 2019-12-17 |
| 1033764881 | Marla Williams | Social Worker | 513 N Main St, Anna, IL 62906-1697 | 2019-08-08 |
| 1316599442 | Olivia Hand | Social Worker | 513 N Main St, Anna, IL 62906-1668 | 2019-07-09 |
| 1487211504 | Michelle Stadelbacher | Social Worker | 513 N Main St, Anna, IL 62906-1668 | 2019-05-23 |
| 1306303292 | Erica Vining | Nurse Practitioner | 513 N Main St, Anna, IL 62906-1668 | 2019-02-27 |
| 1063996973 | Rural Health, Inc. | Clinic/Center | 513 N Main St, Anna, IL 62906-1668 | 2018-09-18 |
| 1891223533 | Cynthia K Flamm | Social Worker | 513 N Main St, Anna, IL 62906-1668 | 2017-05-25 |
| 1609302165 | Alison M Brown | Social Worker | 513 N Main St, Anna, IL 62906-1668 | 2017-05-03 |
| 1467900647 | Joseph C Flamm | Physician Assistant | 513 N Main St, Anna, IL 62906-1668 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265711600 | Community Integrated Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Jeni Lane, Anna, IL 62906 | 2011-08-16 |
| 1508153768 | Union County Counseling Services Inc | Clinic/Center | 202 South St, Anna, IL 62906 | 2011-07-07 |
| 1326335589 | Union County Counseling Services Inc | Clinic/Center | 302 South St, Anna, IL 62906 | 2011-07-07 |
| 1063709228 | Union County Counseling Services Inc | Community Based Residential Treatment Facility, Mental Illness | 311 W Vienna St, Anna, IL 62906 | 2011-07-07 |
| 1598920928 | Steven Wayne Vincent | Dentist | 131 West Vienna Street, Anna, IL 62906 | 2008-07-24 |
| 1427236900 | Cardinal House Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Douglas Street, Anna, IL 62906 | 2008-02-06 |
| 1992913719 | High Chiropractic Center | Chiropractor | 35 Walton Lane, Anna, IL 62906 | 2007-05-18 |
| 1023235678 | Chuck C. Bugle | Psychologist | 311 W. Spring St., Anna, IL 62906 | 2007-04-18 |
| 1922194604 | Nancy Kay Webb | Physical Therapist | 515 E Vienna Street, Suite I, Anna, IL 62906 | 2006-10-04 |
| 1144242918 | William W Mings | Psychiatry & Neurology | 204 South St, Anna, IL 62906 | 2006-07-24 |
| Find all providers in zip 62906 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992954093 | Sree Medicals Pllc | Internal Medicine | 701 W White St Ste 2b, Anna, TX 75409-4102 | 2008-09-12 |
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| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
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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.