DR. J THADDEUS BECK (NPI# 1952372120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952372120 |
| Entity Type | Individual |
| Full Name | DR. J THADDEUS BECK |
| Credential | M.D., F.A.C.P. |
| Practice Address |
3232 N Northhills Blvd Fayetteville AR 72703-4005 |
| Practice Telephone | 4795871700 |
| Practice Fax Number | 4795871366 |
| Mailing Telephone | 4795871700 |
| Mailing Fax Number | 4795871366 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
C6790 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203802806 | 05 | |
| OK | 100080690A | 05 | |
| AR | 111722001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 808 S 52nd St, Rogers, AR 727588602 | 4795871700 | 4795871366 |
| Street Address |
3232 N NORTHHILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936047 | Olivia Harber | Genetic Counselor, MS | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-06-15 |
| 1114427549 | Susan L Ezell | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2018-02-12 |
| 1750811758 | Lauren Ballard | Registered Nurse | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-13 |
| 1619406949 | Bailie N Moore | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-09 |
| 1093181794 | Stephanie A Newman | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-08-17 |
| 1356726020 | Amber D Nguyen | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-07-23 |
| 1295113272 | Jillian Lorraine Graves | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-05-11 |
| 1295122315 | Mark William Pickhardt | Urology | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-04-16 |
| 1245631902 | Miriam Elaine Porter | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2014-09-11 |
| 1528489994 | Deena Michelle Fitzgerald | Clinical Nurse Specialist | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2014-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710237185 | Hui Chen | Internal Medicine | 6387 Ramsey St Unit 140, Fayetteville, NC 28311-9442 | 2012-09-13 |
| 1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
| 1861558827 | Surajit Chaudhuri Md Pa | Internal Medicine | 1205 Cape Court, Suite B, Fayetteville, NC 28304-4404 | 2006-12-27 |
| 1649228651 | Jonathan Christopher Bender | Internal Medicine | 1265 Highway 54 W Ste 4200, Fayetteville, GA 30214 | 2006-05-04 |
| 1497727879 | Surajit Chaudhuri | Internal Medicine | 1205 Cape Ct, Suite B, Fayetteville, NC 28304-4404 | 2006-02-01 |
| 1811977648 | Georgia Cancer Treatment and Hematology Center | Internal Medicine | 1279 Hwy 54 W, Suite 210, Fayetteville, GA 30215 | 2006-01-18 |
| 1497733992 | Daniel Joseph Carr | Internal Medicine | 132 Old Norton Rd, Suite 200, Fayetteville, GA 30215-4872 | 2006-01-04 |
| 1184602856 | Shyam L Khanwani | Internal Medicine | 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 | 2006-01-04 |
| 1215933239 | Trinity Hematology & Oncology Center Pa | Internal Medicine | 1209 Cape Ct, Fayetteville, NC 28304-4404 | 2005-06-23 |
| 1245661701 | Cumberland County Hospital System, Inc. | Internal Medicine | 6387 Ramsey Street, Suite 140, Fayetteville, NC 28311 | 2013-12-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. J THADDEUS BECK.
| 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.