Basic Information
| Provider Information | |||||||||
| NPI: | 1972539336 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEEKEY | ||||||||
| FirstName: | CYRUS | ||||||||
| MiddleName: | EZRA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1803 MOUNT ROSE AVE | ||||||||
| Address2: | SUITE B3 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178516969 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 PINE GROVE COMMONS | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174035176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178122143 | ||||||||
| FaxNumber: | 7178122163 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2006 | ||||||||
| LastUpdateDate: | 01/08/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD011241E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | MD011241E | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 000643323 | 05 | PA | MEDICAID | 2161248 | 01 | PA | MAMSI-WMG BROCKIEHOSP | OTHER | 4613847 | 01 | PA | AETNA | OTHER | 2107269 | 01 | PA | MAMSI-WMG PGAM | OTHER | 410765 | 01 | MD | CAREFIRST MD BCBS | OTHER | 140708 | 01 | PA | UNISON-WMG PGAM | OTHER | 183810 | 01 | PA | UNISON-WMG BROCKIEHOSP | OTHER | 50023470 | 01 | PA | CAPITAL BC-WMG PGAM | OTHER | 8685 | 01 | PA | GEISINGER | OTHER | 033259 | 01 | PA | JOHNS HOPKINS | OTHER | 1551848 | 01 | PA | GATEWAY-WMG BROCKIEHOSP | OTHER | 20022919 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | P002731 | 01 | PA | GATEWAY-WMG PGAM | OTHER | 130323 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 50059454 | 01 | PA | CAPITAL BC-WMG BROCKIEHOS | OTHER |