Provider Demographics
NPI:1841302551
Name:BECK, DAVID C (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:BECK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 HOSPITAL DR
Mailing Address - Street 2:STE 200
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1978
Mailing Address - Country:US
Mailing Address - Phone:513-735-1701
Mailing Address - Fax:513-735-8995
Practice Address - Street 1:2055 HOSPITAL DR
Practice Address - Street 2:STE 200
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1978
Practice Address - Country:US
Practice Address - Phone:513-735-1701
Practice Address - Fax:513-735-8995
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.084931207RP1001X, 207RS0012X
KY39296207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2779800Medicaid
OHP00466950OtherMEDICARE RR
OH4218441Medicare PIN