BEATRIX GESEK-CLARK NP NPI 1154430841

NPI Information

NPI: 1154430841
Provider Name: BEATRIX GESEK-CLARK, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
100 CUMMINGS CTR
SUITE 166D
BEVERLY, MA
ZIP 01915
Phone: (978) 712-3360
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Beatrix Gesek-clark, NP is an adult health nurse practitioner in Beverly, MA. Beatrix Gesek-clark, NP NPI is 1154430841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 CUMMINGS CTR
SUITE 166D
BEVERLY, MA
ZIP 01915-115
Phone: (978) 712-3360

The NPI 1154430841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 4/10/2013.

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
1	363LA2200X	Nurse Practitioner	Adult Health	NP89164	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P02852	MEDICARE UPIN
2	NP2312	MEDICARE ID-TYPE UNSPECIFIED
3	0706230	MEDICAID	MASSACHUSETTS
4	NP2312	OTHER	MASSACHUSETTS	BS

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: 4/28/2024

NPI Synchronization or Removal

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