National Provider Identifier

Gary Hampton Beachum, M.D.

Gary Hampton Beachum, M.D. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Ithaca, NY and a listed phone number of (919) 450-7666.

NPI 1598967580Ithaca, NYEmergency Medicine Physician

Profile Overview

NPI
1598967580
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
June 03, 2007
Last Updated
July 08, 2007

Practice Location

  • 101 E State St
  • Mail Box 192
  • Ithaca, NY 14850-5543

Phone: (919) 450-7666

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1598967580
Entity Type
Individual
Last Name
Beachum
First Name
Gary
Middle Name
Hampton
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
101 E State St
Mailing Address Line 2
Mail Box 192
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5543
Mailing Country
US
Mailing Phone
(919) 450-7666
Practice Street Address
101 E State St
Practice Address Line 2
Mail Box 192
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5543
Practice Country
US
Practice Phone
(919) 450-7666
Enumeration Date
June 03, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)