Provider Demographics
NPI:1194729608
Name:BEYMER, CHARLES H (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:BEYMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:S-111-GASTRO VA PUGET SOUND HCS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-277-4313
Mailing Address - Fax:206-764-2232
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:S-111-GASTRO VA PUGET SOUND HCS
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-277-4313
Practice Address - Fax:206-764-2232
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA29341207RG0100X
AZ26171207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ 0729680OtherBLUE CROSS BLUE SHIELD OF
WA1194729608Medicaid
AZ406696Medicaid
WA1194729608Medicaid
F87474Medicare UPIN