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Contact Information

TIMOTHY BEACHAM, MD
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY40241-6156
 Phone: 502-352-2530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for TIMOTHY BEACHAM · (Male)

NPI # 1669670360
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2007
Last updated 06/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 49929
  • MS License # 20443
  • KY Medicaid 7100473360
  • MS Medicaid 04330519
  • MO Other 343174YXV2 MEDICARE PTAN
  • MS Other 302I057501 MEDICARE PTAN
Hospital affiliation(s)
  • BAPTIST HOSPITAL EAST - (Acute Care)
    4000 KRESGE WAY
    LOUISVILLE, KY 40207
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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