JASON L BEATTY DO NPI 1013150580

NPI Information

  • NPI: 1013150580
  • Provider Name: JASON L BEATTY, DO
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 165 N STATE AVE
    ALPENA, MI
    ZIP 49707
  • Phone: (517) 881-6199

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NPI Details

Jason L Beatty, DO is an addiction medicine family medicine in Alpena, MI. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Jason L Beatty, DO NPI is 1013150580. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

165 N STATE AVE
ALPENA, MI
ZIP 49707-835
Phone: (517) 881-6199
Fax: (989) 340-1512

The NPI 1013150580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2009 and was last updated on 8/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction Medicine5101018107MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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