DR. STEPHEN KENN BEEMAN (NPI# 1982999314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982999314 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KENN BEEMAN |
| Credential | M.D., M.P.H., FACS |
| Practice Address |
5681 Highway 363 Mantachie MS 38855-7632 |
| Mailing Address |
Po Box 40 Mantachie MS 38855-0040 |
| Practice Telephone | 6622824226 |
| Practice Fax Number | 6622827946 |
| Mailing Telephone | 6622824226 |
| Mailing Fax Number | 6622827946 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 13262 | MS | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
13262 | MS | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13262 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00110443 | 05 |
| Street Address |
5681 HIGHWAY 363 |
| City | MANTACHIE |
| State | MS |
| Zip Code | 38855-7632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033169545 | Mantachie Rural Health Care, Inc | Family Medicine | 5681 Highway 363, Mantachie, MS 38855-7632 | 2006-05-12 |
| 1700340908 | Amy Lynn Floyd | Nurse Practitioner | 5681 Highway 363, Mantachie, MS 38855-7632 | 2019-01-22 |
| 1932589058 | Kathryn Claire Wright | Nurse Practitioner | 5681 Highway 363, Mantachie, MS 38855-7632 | 2015-06-03 |
| 1710115506 | Leslie Ellen Peterson | Nurse Practitioner | 5681 Highway 363, Mantachie, MS 38855-7197 | 2009-06-30 |
| 1356538045 | Amanda Leigh Martin | Nurse Practitioner | 5681 Highway 363, Mantachie, MS 38855-7632 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997985 | Sonshine Pharmacy, LLC | Pharmacy | 2745 Highway 371 N, Mantachie, MS 38855 | 2019-08-09 |
| 1053885673 | Mantachie Rural Health Care, Inc | Clinic/Center | 311 Mustang Drive, Mantachie, MS 38855 | 2019-01-16 |
| 1992292536 | Mantachie Pharmacy LLC | Pharmacy | 3309 Highway 371 N, Mantachie, MS 38855 | 2018-04-19 |
| 1720589070 | Mantachie Rural Health Care Inc Behavioral Health | Clinic/Center | 5510 Hwy 363, Mantachie, MS 38855 | 2018-02-22 |
| 1962816447 | Travis Castleberry | Physical Therapist | 230a Main Street, Nettleton, MS 38855 | 2014-06-12 |
| 1891907093 | Community Family Healthcare, Inc | Nurse Practitioner | 285 Ivie Lane, Mantachie, MS 38855 | 2007-05-03 |
| 1750307328 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 67 Watson Dr, Mantachie, MS 38855 | 2006-07-15 |
| 1497063085 | Jennifer Emily Bass | Specialist | 275 Morning View Lane, Mantachie, MS 38855-7096 | 2010-09-17 |
| 1780169557 | Andrea Carpenter | Nurse Practitioner | 3275 Highway 371 N, Mantachie, MS 38855-7145 | 2018-09-27 |
| 1164987426 | Hometown Care of Mantachie LLC | Nurse Practitioner | 3275 Highway 371 N, Mantachie, MS 38855-7145 | 2019-01-31 |
| Find all providers in zip 38855 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710341771 | Sisters In Birth, Inc. | Preventive Medicine | 3000 Old Canton Rd Ste 280, Jackson, MS 39216-4255 | 2016-04-06 |
| 1013288919 | Kevin Mills Mcneill | Preventive Medicine | 129 Calumet Dr, Madison, MS 39110-9298 | 2012-01-24 |
| 1841597861 | Bonda Ann Abide | Preventive Medicine | 1120 Avon Pl, Greenville, MS 38701-8305 | 2011-02-28 |
| 1851620314 | Frank J Morgan Jr. | Preventive Medicine | 1200 Meadowbrook Rd, #25, Jackson, MS 39206-6109 | 2009-12-12 |
| 1033381769 | Tarence Wade M D P C | Preventive Medicine | 217 S Washington Ave, Greenville, MS 38701-4234 | 2008-04-02 |
| 1477698926 | James Puckett | Preventive Medicine | 6111 Highway 49, Suite 119, Hattiesburg, MS 39401 | 2007-02-21 |
| 1467596031 | Anne A. Roberts | Preventive Medicine | 640 Georgetown St, Hazlehurst, MS 39083-2501 | 2007-02-16 |
| 1467595843 | Dexter Quon | Preventive Medicine | 101 Veteran's Drive, Oxford, MS 38655 | 2007-02-15 |
| 1326187196 | Mahmoud A Shaalan | Preventive Medicine | 105 County Road 305, Corinth, MS 38834-8847 | 2007-02-06 |
| 1851451553 | Robert Eugene Trotter | Preventive Medicine | 532 S Church St Health District 2, Tupelo, MS 38802 | 2006-12-11 |
| 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.