NPI
John J Beaty
NPI 1013139146
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- P.T.
- Type
- Individual
- Enumeration date
- 2007-05-02
- Last updated
- 2020-10-30
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Specialties
Licenses
- License WI
- 13230-24
- License NE
- 596
- License WI
- 10075-024
- License WI
- 10075
Location
- Practice location
- 1300 S Century Ave
- City
- Waunakee WI
- Postal code
- 53597-2386
- Phone
- (608) 849-4315
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Waunakee, WI. 226 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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