Provider Demographics
NPI:1356733893
Name:NATALIE J. BEYELER, DO
Entity type:Organization
Organization Name:NATALIE J. BEYELER, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEYELER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-726-0211
Mailing Address - Street 1:410 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-1764
Mailing Address - Country:US
Mailing Address - Phone:814-726-0211
Mailing Address - Fax:814-723-1078
Practice Address - Street 1:410 MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1764
Practice Address - Country:US
Practice Address - Phone:814-726-0211
Practice Address - Fax:814-723-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016333207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1104885268OtherHIGHMARK
PA1431924OtherHEALTH AMERICA
PA419946OtherUPMC
PAMA1028205280001Medicaid
PA283229U9RMedicare Oscar/Certification