Physician Assistant
THEODORE BEATTY PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1306259262 · enumerated 2014-06-09 · record updated 2014-06-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 15855 19 MILE RD, CLINTON TOWNSHIP, MI, 48038-3504 (586) 263-2300 Google Maps Apple Maps OpenStreetMap
- Mailing address 266 VESTER ST, FERNDALE, MI, 48220-1714 (810) 614-9841 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 5601006977 MI
In this directory
Locations and evidence
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Practice location
CLINTON TOWNSHIP, MI, 480383504
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.