DR. MD Kenneth John Bescak, NPI 1164401592
Cardiovascular Disease Physician in Cottonwood, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164401592 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD Kenneth John Bescak |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 294 W State Route 89a, Suite 107, Cottonwood, AZ, US |
| Provider Mailing Address | 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ, US, 860013118 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Cardiovascular Disease Physician |
| Classification | |
| Group | |
| License No. | 40903 |
| License State | AZ |
| Description | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 35036051 | OH | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| E36051 | OH | SUMMA | 01 |
| 0413832 | OH | MEDICAID | 05 |
| 000000128703 | OH | ANTHEM | 01 |
| 100402 | OH | KAISER | 01 |
| 413507 | AZ | MEDICAID | 05 |
| 060013315 | RAILROAD MEDICARE # | 01 | |
| 341221800045 | OH | CARESOURCE | 01 |
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