Basic Information
Provider Information | |||||||||
NPI: | 1982872156 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | MCBEATH | ||||||||
FirstName: | ROWENA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D., PH.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 950 PULASKI DR STE 100 | ||||||||
Address2: |   | ||||||||
City: | KING OF PRUSSIA | ||||||||
State: | PA | ||||||||
PostalCode: | 194062802 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6107685940 | ||||||||
FaxNumber: | 6107685947 | ||||||||
Practice Location | |||||||||
Address1: | 1203 LANGHORNE NEWTOWN RD STE 335 | ||||||||
Address2: |   | ||||||||
City: | LANGHORNE | ||||||||
State: | PA | ||||||||
PostalCode: | 190471236 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2157412707 | ||||||||
FaxNumber: | 6107685947 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 02/11/2008 | ||||||||
LastUpdateDate: | 06/30/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 06/30/2020 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 2006015615 | MO | N |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |   | 207X00000X | MD443581 | PA | N |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |   | 2086S0105X | MD443581 | PA | N |   | Allopathic & Osteopathic Physicians | Surgery | Surgery of the Hand | 207XS0106X | MD443581 | PA | Y |   | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
No ID Information.