Provider Demographics
NPI:1952459414
Name:BARNEY B. BEAVER D.O., LLC
Entity Type:Organization
Organization Name:BARNEY B. BEAVER D.O., LLC
Other - Org Name:HEART AND RHYTHM SPECIALISTS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARNEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-529-8185
Mailing Address - Street 1:5677 SCIOTO DARBY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1391
Mailing Address - Country:US
Mailing Address - Phone:614-529-8185
Mailing Address - Fax:614-529-0137
Practice Address - Street 1:5677 SCIOTO DARBY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1391
Practice Address - Country:US
Practice Address - Phone:614-529-8185
Practice Address - Fax:614-529-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003024207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty