Provider Demographics
NPI:1104894070
Name:BECK, WILLIAM R (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:BECK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-9017
Mailing Address - Country:US
Mailing Address - Phone:316-283-2800
Mailing Address - Fax:316-283-3575
Practice Address - Street 1:700 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 210
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-9013
Practice Address - Country:US
Practice Address - Phone:316-804-4705
Practice Address - Fax:316-804-4710
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
KS0421695207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100205540AMedicaid
0562380002OtherPTAN
KS021435OtherMEDICARE ID
KS021435OtherMEDICARE ID
BB1010418OtherDEA