DR. BENJAMIN K MARBLE (NPI# 1023172426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023172426 |
Entity Type | Individual |
Full Name | DR. BENJAMIN K MARBLE |
Credential | DPM |
Practice Address |
1619 N Greenwood St # 300 Pueblo CO 81003-2657 |
Mailing Address |
1619 N Greenwood St #300 Pueblo CO 81003-2657 |
Practice Telephone | 7195432476 |
Practice Fax Number | 7195432479 |
Mailing Telephone | 7195432476 |
Mailing Fax Number | 7195432479 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2008-04-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5943612-0501 | UT | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
665 | CO | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 19253044 | 05 | |
CO | RAILROAD MEDICAR | P00412290 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437192119 | Benjamin A. Marble | Emergency Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2006-06-13 |
Street Address |
1619 N GREENWOOD ST # 300 |
City | PUEBLO |
State | CO |
Zip Code | 81003-2657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043206311 | Radiology Associates | Specialist | 1619 N Greenwood St, Suite 100, Pueblo, CO 81003-2644 | 2005-09-22 |
1437600608 | Diana Karnilaw | Nurse Practitioner | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2016-10-21 |
1629451091 | Rachel R Buck | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2015-07-03 |
1861808750 | Jamie Kathryn Rendler | Nurse Practitioner | 1619 N Greenwood St, Suite 208, Pueblo, CO 81003-2644 | 2014-07-11 |
1104181148 | Eric Andrew Lewis | Podiatrist | 1619 N Greenwood St, Suite 300, Pueblo, CO 81003-2644 | 2012-07-05 |
1144510660 | Sarah Elizabeth Bryant | Pediatrics | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2011-04-18 |
1043442791 | Steven Nafziger | Family Medicine | 1619 N Greenwood St, Suite 204, Pueblo, CO 81003-2644 | 2009-08-13 |
1841421344 | David Abbott | Radiology | 1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644 | 2009-07-31 |
1891923033 | Mark Edward Maurer | Podiatrist | 1619 N Greenwood St, Ste 300, Pueblo, CO 81003-2644 | 2009-06-25 |
1346400413 | Elizabeth Ehrhardt Md Prof LLC | Pediatrics | 1619 N Greenwood St, Ste 400, Pueblo, CO 81003-2644 | 2008-06-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
Find all providers in zip 81003 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275898355 | Sarah Mae Thompson | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2012-07-05 |
1881638070 | Gordon Paul Rheaume | Podiatrist | 1513 Moore Ave, Pueblo, CO 81005-2346 | 2006-06-16 |
1104181148 | Eric Andrew Lewis | Podiatrist | 1619 N Greenwood St, Suite 300, Pueblo, CO 81003-2644 | 2012-07-05 |
1316234487 | Angelo S. Giarratano, D.p.m. | Podiatrist | 2037 Jerry Murphy Rd, Suite 100, Pueblo, CO 81001-1250 | 2011-07-08 |
1891923033 | Mark Edward Maurer | Podiatrist | 1619 N Greenwood St, Ste 300, Pueblo, CO 81003-2644 | 2009-06-25 |
1528224755 | Ann Nakai Jurewicz | Podiatrist | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2008-08-07 |
1588842124 | Complete Foot Care, P.C. | Podiatrist | 2037 Jerry Murphy Rd Ste 100, Pueblo, CO 81001-1256 | 2008-02-06 |
1790999035 | Pueblo Ankle and Foot Care, Pllc | Podiatrist | 1619 N Greenwood St, #300, Pueblo, CO 81003-2657 | 2007-05-09 |
1386769784 | Ap Foot and Ankle Specialists PC | Podiatrist | 509 Colorado Ave, Suite D, Pueblo, CO 81004-2008 | 2007-03-21 |
1699780361 | Stanley C. Rheaume, Dpm, PC | Podiatrist | 1513 Moore Ave, Pueblo, CO 81005-2346 | 2006-07-30 |
Find all providers in PUEBLO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.