DR. MAXINE RUTH BEATTY MD
NPI 1174580377
Pediatrics in Virginia Beach, VA

Active since May 01, 2006
1212 LAKE JAMES DR, STE C, VIRGINIA BEACH, VA 23464(757) 523-4589(757) 523-8920 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maxine Ruth Beatty Md NPPES

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

DR. MAXINE RUTH BEATTY MD (NPI 1174580377) is an individual pediatrics provider in Virginia Beach, Virginia, licensed in Virginia (0101025142) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1174580377
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MAXINE RUTH BEATTYCredential: MD
Location Address1212 LAKE JAMES DR, STE CVirginia Beach, VA 23464
Mailing Address1212 Lake James Dr, Ste CVirginia Beach, VA 23464 · (757) 523-4589 · Fax (757) 523-8920
Fax(757) 523-8920
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateSeptember 21, 2012
NPI 1174580377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in VA · 0101025142
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1212 LAKE JAMES DR, Virginia Beach, VA 23464

Other Names 1

Former Name (1)Dr. Maxine Spool Md

Other Identifiers 2

Medicaid010107580VA
Medicare UPINF87883

Other Providers at the Same Location NPPES 7

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

Family Medicine (Geriatric Medicine)
1212 LAKE JAMES DR, F
VIRGINIA BEACH, VA 23464
Dentist
1212 LAKE JAMES DR, SUITE A
VIRGINIA BEACH, VA 23464
Pediatrics
1212 LAKE JAMES DR, STE C
VIRGINIA BEACH, VA 23464
Nurse Practitioner (Family)
1212 LAKE JAMES DR, SUITE C
VIRGINIA BEACH, VA 23464
Pediatrics
1212 LAKE JAMES DR, SUITE C
VIRGINIA BEACH, VA 23464
Nurse Practitioner (Pediatrics)
1212 LAKE JAMES DR, SUITE C
VIRGINIA BEACH, VA 23464
Pediatrics
1212 LAKE JAMES DR, SUITE C
VIRGINIA BEACH, VA 23464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxine Beatty's NPI number?

The NPI number for Maxine Beatty is 1174580377. It was assigned to this individual provider in the NPPES registry on May 1, 2006. The provider is also known as Dr. Maxine Spool MD.

Where is Maxine Beatty located?

Maxine Beatty practices at 1212 Lake James Dr Ste C, Virginia Beach, VA 23464. The listed phone number is (757) 523-4589.

What is Maxine Beatty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Maxine Beatty was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.