Provider Demographics
NPI:1790778538
Name:BECK, DONALD WILLIAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WILLIAM
Last Name:BECK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4304 WALNUT ST
Mailing Address - Street 2:STE 7
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-6028
Mailing Address - Country:US
Mailing Address - Phone:412-751-5311
Mailing Address - Fax:412-751-5799
Practice Address - Street 1:4304 WALNUT STREET
Practice Address - Street 2:SUITE 7
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-6028
Practice Address - Country:US
Practice Address - Phone:412-751-5311
Practice Address - Fax:412-751-5799
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC002283L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102190OtherUPMC HEALTH PLAN
PA1008018OtherGATEWAY HEALTH PLAN
PA516716OtherHIGHMARK BS
PA86281OtherMEDPLUS 3 RIVERS HEALTH P
PA146585001OtherUPMC FOR YOU HEALTH PLAN
PA0008972450002Medicaid
PADB5605OtherRAILROAD MEDICARE
PA516716OtherHIGHMARK BS
PA86281OtherMEDPLUS 3 RIVERS HEALTH P