DR. NORMAN JOSEPH BEAUCHAMP III MD
NPI 1114614567
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Q: What is Norman Beauchamp's NPI number?

The NPI number for Norman Beauchamp is 1114614567. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Norman Beauchamp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Norman Beauchamp was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2023PECOS Enrolled

100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-3570 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2024, Jun 23, 2023 (2 updates tracked since 2023).

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About Dr. Norman Joseph Beauchamp Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NORMAN JOSEPH BEAUCHAMP III MD (NPI 1114614567) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1114614567

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NORMAN JOSEPH BEAUCHAMP IIICredential: MD

Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704

Phone(616) 391-3570

Sole ProprietorNo

Enumeration DateApril 18, 2023

Last NPPES UpdateJune 11, 20242 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1114614567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 4351051596 (MI)

100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-8893

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Norman Joseph Beauchamp Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN LOUISE MUELLER MD

Surgery