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Deactivated NPI 1164423935 Deactivated / Inactive NPI Male Practitioner

Dr. Andrew C Beach , MD

Pediatrics • Kennett, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrew Beach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2005
NPI Deactivation Date January 30, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Beach, MD was a registered Pediatrics practicing in Kennett, MO. Throughout an active medical career spanning 20 years, Dr. Beach provided care at the practice location at 211 TEACO RD until profile deactivation on 2025-01-30.

Practice Location & Contact Primary Location

Practice Address

211 Teaco Rd

Kennett, MO 638573236

Telephone 5738880001
Fax 5738880006
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kennett, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Kennett, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2000151544

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Ginger Smith , APRN NP-C

Nurse Practitioner

NPI 1083167522

APRNNPC

Carolyn Herbert

Nurse Practitioner - Family

NPI 1386315778
Lori Parker , CNP

Clinical Nurse Specialist - Pediatrics

NPI 1801224407

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

NPI Profile Active October 20, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 20, 2008

Registered at 211 TEACO RD, KENNETT, MO 638573236 (Tel: 5738880001)

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Updated Business Mailing Address October 20, 2008

Registered at PO BOX 908, KENNETT, MO 638570908 (Tel: 5738880001)

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Provider Name / Credentials Updated October 20, 2008

Recorded as ANDREW BEACH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2008

Pediatrics (License #2000151544 in MO)

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Initial NPI Registration & Enumeration August 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164423935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2005
Last Update: October 20, 2008
Deactivation Date: January 30, 2025

Mailing Address

Po Box 908

Kennett, MO 638570908

Phone: 5738880001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.