Provider Demographics
NPI:1417157348
Name:ELAINE A BEED M D INC
Entity Type:Organization
Organization Name:ELAINE A BEED M D INC
Other - Org Name:ELAINE A. BEED M.D
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:ALFREDA
Authorized Official - Last Name:BEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-523-1611
Mailing Address - Street 1:PO BOX 641185
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-0302
Mailing Address - Country:US
Mailing Address - Phone:614-523-1611
Mailing Address - Fax:614-794-4289
Practice Address - Street 1:660 COOPER RD STE 600
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-9235
Practice Address - Country:US
Practice Address - Phone:614-523-1611
Practice Address - Fax:614-794-4289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH045906174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0600666Medicaid
OH830007614OtherMEDICARE RAILROAD
OH830007614OtherMEDICARE RAILROAD
OHBE0870962Medicare PIN
OHEL9370361Medicare PIN