DR. DOUGLAS WAYNE BEAL M.D. M.S.H.A. NPI 1417954660

NPI Information

NPI: 1417954660
Provider Name: DR. DOUGLAS WAYNE BEAL, M.D., M.S.H.A.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2412 FORUM BLVD
SUITE 201
COLUMBIA, MO
ZIP 65203
Phone: (573) 445-0725
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DR. Douglas Wayne Beal, M.D., M.S.H.A. is a pediatrics in Columbia, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Douglas Wayne Beal, M.D., M.S.H.A. NPI is 1417954660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2412 FORUM BLVD
SUITE 201
COLUMBIA, MO
ZIP 65203-364
Phone: (573) 445-0725
Fax: (573) 445-1027

The enumeration date for this NPI number is 7/1/2005 and was last updated on 1/5/2014.

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	208000000X	Pediatrics		MD100429	MISSOURI	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	A02459	MEDICARE UPIN
2	203349915	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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