Provider Demographics
NPI:1114945839
Name:WARD, BETH ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:232 S WOODS MILL RD
Mailing Address - Street 2:SLEEP MEDICINE
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3417
Mailing Address - Country:US
Mailing Address - Phone:314-205-6030
Mailing Address - Fax:314-338-7157
Practice Address - Street 1:232 S WOODS MILL RD
Practice Address - Street 2:SLEEP MEDICINE
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3417
Practice Address - Country:US
Practice Address - Phone:314-205-6030
Practice Address - Fax:314-338-7157
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20040097152084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO919840101Medicaid
MO919840101Medicaid
IL$$$$$$$$$Medicaid
MO919840101Medicaid