DONNA BEALLIS D.O. P.A. – NPI #1184951998
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

DONNA BEALLIS D.O. P.A. is a provider located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1184951998 to DONNA BEALLIS D.O. P.A. on November 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 5 years ago on Oct 05, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DONNA BEALLIS D.O. P.A. below.

NPI Profile for
DONNA BEALLIS D.O. P.A.

NPI Number
1184951998
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DONNA BEALLIS D.O. P.A.
Primary location
153 E MONTE PAINTER DR
FAYETTEVILLE, AR 72703-4002
Phone: (479) 444-2200 Fax: (479) 444-2390
Mailing address
PO BOX 11134
FORT SMITH, AR 72917-1134
Phone: (479) 285-5497 Fax:
Organization Subpart
No
Authorized Official
DONNA BEALLIS
OWNER
Phone: (479) 806-0647
Updated
Certification Date
Oct 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DONNA BEALLIS D.O. P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200199440A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
AR E-5626

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.