Provider Demographics
NPI:1326143777
Name:BEED, ELAINE A (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:A
Last Name:BEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELAINE
Other - Middle Name:A
Other - Last Name:BEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1341 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9614
Mailing Address - Country:US
Mailing Address - Phone:740-439-2771
Mailing Address - Fax:740-439-8759
Practice Address - Street 1:1455 CLARK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9614
Practice Address - Country:US
Practice Address - Phone:740-439-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.045906207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0600666Medicaid
OH0600666Medicaid
OHEL9370361Medicare PIN
OHBE0870962Medicare PIN
OHBE0870963Medicare PIN