THEODORE BEATTY PA-C
NPI 1306259262
Physician Assistant in Clinton Township, MI

Active since June 09, 2014
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2300 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore Beatty Pa-c NPPES

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

THEODORE BEATTY PA-C (NPI 1306259262) is an individual physician assistant in Clinton Township, Michigan, licensed in Michigan (5601006977) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1306259262
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHEODORE BEATTYCredential: PA-C
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address266 Vester StFerndale, MI 48220-1714 · (810) 614-9841
Sole ProprietorNo
Enumeration DateJune 9, 2014
NPI 1306259262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006977
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15855 19 MILE RD, Clinton Township, MI 48038

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services34 patients

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.

Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038

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 Theodore Beatty's NPI number?

The NPI number for Theodore Beatty is 1306259262. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Theodore Beatty located?

Theodore Beatty practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2300.

What is Theodore Beatty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Theodore Beatty was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.