DR. MELISSA KAY BENBOW (NPI# 1053564617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053564617 |
| Entity Type | Individual |
| Full Name | DR. MELISSA KAY BENBOW |
| Credential | MD |
| Practice Address |
13750 S Sedona Pkwy Lansing MI 48906-8101 |
| Mailing Address |
804 Service Rd A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5176699758 |
| Practice Fax Number | 5176798232 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301104293 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35.095877 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO STATE MEDICAL LICENSE | 35.095877 | 01 |
| DEA | FB2470843 | 01 | |
| MI | 1053564617 | 05 | |
| OH | TRAINING CERTIFICATE | 57-014989 | 01 |
| MI | MI MEDICAL LICENSE | 4301104293 | 01 |
| Street Address |
13750 S SEDONA PKWY |
| City | LANSING |
| State | MI |
| Zip Code | 48906-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992733836 | Rachel Suzanne Christensen | Pediatrics | 13750 S Sedona Pkwy, Ste 2, Lansing, MI 48906-8101 | 2006-06-29 |
| 1275983322 | Emily Anne Disbrow | Pediatrics | 13750 S Sedona Pkwy, Lansing, MI 48906-8101 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487126595 | Mallory Godin | Counselor | 14509 Boichot Rd, Lansing, MI 48906 | 2018-12-31 |
| 1184133654 | Derrick Ray Lewis II | Technician | 3209 Trillium Drive, Lansing, MI 48906 | 2017-09-27 |
| 1497184329 | Michelle Ann Munson-mccorry | Registered Nurse | 1108 Ballard, Lansing, MI 48906 | 2013-11-01 |
| 1497190961 | Guided Choices | Registered Nurse | 2812 N Martin Luther King Jr Blvd, Lansing, MI 48906 | 2013-05-09 |
| 1154665677 | Agape Chiro Med of Michigan, LLC | Chiropractor | 1029 E Saginaw Street, Lansing, MI 48906 | 2012-11-21 |
| 1306143771 | Wayne County Physical Therapy, LLC | Clinic/Center | 1029 E Saginaw, Lansing, MI 48906 | 2011-02-22 |
| 1083877344 | Sabrina Diane Dinkha | Pediatrics | 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 | 2008-07-08 |
| 1922173103 | Linda Sue Hughes | Nurse Practitioner | 1717 N. High Street, Lansing, MI 48906 | 2006-11-22 |
| 1124102207 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 1035 Mak-tech Drive, Lansing, MI 48906 | 2006-10-25 |
| 1689777252 | Plastic & Cosmetic Surgeons PC | Plastic Surgery | 1219 East Saginaw Street, Lansing, MI 48906 | 2006-09-07 |
| Find all providers in zip 48906 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1740790146 | Theo Pediatric Health | Pediatrics | 1219 1/2 Turner St, Lansing, MI 48906-4341 | 2017-10-11 |
| 1891216834 | Ahmad Khalil | Pediatrics | 1200 E Michigan Ave Ste 205, Lansing, MI 48912-1800 | 2017-06-29 |
| 1407386329 | Ambria Faith Jump | Pediatrics | 5303 S Cedar St Ste 205, Lansing, MI 48911-3800 | 2017-06-13 |
| 1114478419 | Jerry Joe Evans | Pediatrics | 610 W Ottawa St, Apt. 906, Lansing, MI 48933-1056 | 2016-10-21 |
| 1730561366 | Christine Sims | Pediatrics | 7335 Westshire Dr Ste 102, Lansing, MI 48917-9703 | 2015-06-19 |
| 1548609225 | Stephanie Anne Klein | Pediatrics | 2414 Lake Lansing Road, Lansing, MI 48912 | 2013-06-17 |
| 1679882005 | Bhagya Mysore Venkatesh | Pediatrics | 901 East Michigan Avenue, Lansing, MI 48910 | 2010-10-04 |
| 1205147451 | Erica Lillian Still | Pediatrics | 15673 Wood Rd, Lansing, MI 48906-1740 | 2010-06-22 |
| 1083877344 | Sabrina Diane Dinkha | Pediatrics | 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 | 2008-07-08 |
| Find all providers in LANSING | ||||
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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.