Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. DAVID M BEATTY
Active
Individual
DR. DAVID M BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112014
IL
207Q00000X
Family Medicine Physician
38680
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020057300
BLACK LUNG
IL
01
—
036112014
STATE LICENSE
IL
01
—
08421024
BCBS
IL
01
—
130434
HEALTH ALLIANCE
IL
01
—
133586700
ACS-OWCP
IL
01
—
14D0435365
CLIA CERT CHATHAM LOC
IL
01
—
14D0949277
CLIA CERT SPFLD LOC
IL
01
—
310046
PERSONAL CARE
IL
01
—
6394P
CATERPILLAR
IL
01
—
787412
HEALTHLINK
IL
01
—
CD7143
RR MEDICARE GROUP
IL
01
—
P00397731
RR MEDICARE IND PROV ID
IL
Enumeration date
08/05/2006
Last updated
12/16/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers