CLARENCE HENRY BEAVERS M.D., NPI 1871595082
Dermatology in EDEN, NC
Last Updated on : Aug 10,2023
About CLARENCE HENRY BEAVERS (NPI 1871595082)
CLARENCE HENRY BEAVERS is a Dermatology provider in EDEN, United States. His medical specialization is Dermatology .
1871595082 is NPI number of CLARENCE HENRY BEAVERS.
CLARENCE HENRY BEAVERS's primary taxonomy code based on NPI Lookup is 207N00000X with license number 39543. This taxonomy code refers to Dermatology.
CLARENCE HENRY BEAVERS has more than 17 years of experience.
CLARENCE HENRY BEAVERS current practice location address is 207 E MEADOW RD STE 1, EDEN, NC. CLARENCE HENRY BEAVERS can be reached out via phone at 336-627-3194 and via fax at 336-627-3208 .
You can also correspond with CLARENCE HENRY BEAVERS through mail at mailing address PO BOX 1693, BRYSON CITY, NC, United States. Mailing address contact number is 336-967-0004.
The enumeration date of CLARENCE HENRY BEAVERS is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.1871595082 NPI Information
Basic NPI information of CLARENCE HENRY BEAVERS (NPI 1871595082) is provided below.
| Name | CLARENCE HENRY BEAVERS |
|---|---|
| National Provider Id (NPI) | 1871595082 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 207 E MEADOW RD STE 1,
EDEN, NC, United States |
| Practice Telephone | 336-627-3194 |
| Practice Fax Number | 336-627-3208 |
| Mailing Address | PO BOX 1693 ,
BRYSON CITY, NC, United States |
| Mailing Telephone | 336-967-0004 |
| Mailing Fax Number | 828-538-4441 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 10-Aug-2023 |
CLARENCE HENRY BEAVERS (NPI 1871595082) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 39543 | NC |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
CLARENCE HENRY BEAVERS (NPI 1871595082) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 39543 | NC |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1871595082 | MEDICAID (05) | NC | |
| 2154554D | Other (non-Medicare) (01) | NC | Medicare PTAN |
| P00935587 | Other (non-Medicare) (01) | NC | Railroad Medicare |
CLARENCE HENRY BEAVERS (NPI 1871595082) Office Location
Office location of CLARENCE HENRY BEAVERS is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
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|---|---|---|---|---|
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| 1508993320 | ABSOLUT CENTER FOR NURSING AND REHABILITATION AT EDEN, LLC | Skilled Nursing Facility | 300 GLEED AVE,
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| 1164616835 | ABUNDANT LIVING GROUP HOME, INC | Residential Treatment Facility, Emotionally Disturbed Children | 438 CREEKRIDGE DR,
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05-Sep-2007 |
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07-Feb-2007 |
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| 1215545348 | AGAPE HOME LIVING CARE PHASE II LLC | Community Based Residential Treatment Facility, Mental Illness | 315 MAPLE ST,
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| 1487176152 | KAITLYN ROSE AGEN | Speech-Language Pathologist, | 2957 SCHOOLVIEW ROAD,
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| 1902243942 | AMIR AGHAJANIAN | Internal Medicine | UNC DIVISION OF CARDIOLOGY,
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| 1942612742 | ROZITA AKHBARI | Pediatrics | 509 S VAN BUREN RD STE B,
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28-May-2014 |
| 1841831922 | AQUISI AKINOLA | Pharmacist | 106 W VIEW DR,
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30-Sep-2019 |
| 1245213586 | SHERRY A ALEXANDER | Physician Assistant | 216 E COLLEGE,
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21-Nov-2005 |
| 1770177032 | ALISHA ALFANO | Doula | 9360 GOWANDA STATE RD,
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25-Feb-2021 |
| 1396053690 | LAUREEN G ALLEN | Massage Therapist | 3307 N BOSTON RD,
EDEN, NY, United States |
21-Sep-2010 |
| 1245494335 | MARY ANN ALLEN | Audiologist-Hearing Aid Fitter | MEDICAL CENTER BLVD,
WINSTON SALEM, NC, United States |
17-Jul-2008 |
| 1609089184 | O. KENT ALLEN | Marriage & Family Therapist | 5685 S 1475 E STE 2B,
SOUTH OGDEN, UT, United States |
08-May-2007 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1871595082?1871595082 is the NPI number of CLARENCE HENRY BEAVERS.
What is the specialty for CLARENCE HENRY BEAVERS?The Specialty of CLARENCE HENRY BEAVERS is Dermatology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|