NPI
Timothy Manson Beaty
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2006-08-30
- Last updated
- 2021-12-17
Specialties
Licenses
- License IL
- 036094492
Location
- Practice location
- 9401 Holy Cross Ln, Suite 112
- City
- Breese IL
- Postal code
- 62230-3510
- Phone
- (618) 526-7271
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. OIG's online search is the official check.
Nearby
Other NPIs in Breese, IL. 177 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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