Provider Demographics
NPI:1740218676
Name:BEATON, J NEAL (MD)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:NEAL
Last Name:BEATON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9800 LILE DR STE 620
Mailing Address - Street 2:BAPTIST HEALTH EICUCARE
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6244
Mailing Address - Country:US
Mailing Address - Phone:501-202-6549
Mailing Address - Fax:501-202-6544
Practice Address - Street 1:9800 LILE DR STE 620
Practice Address - Street 2:BAPTIST HEALTH EICUCARE
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6244
Practice Address - Country:US
Practice Address - Phone:501-202-6549
Practice Address - Fax:501-202-6544
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC5364207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104956001Medicaid
ARC67809Medicare UPIN
AR50346Medicare ID - Type Unspecified