MR. GARRETT EVAN BENHAM (NPI# 1053935825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053935825 |
| Entity Type | Individual |
| Full Name | MR. GARRETT EVAN BENHAM |
| Credential | PA-C |
| Practice Address |
7166 Alexandra Dr Apt 6 Newark DE 19702-8142 |
| Mailing Address |
7166 Alexandra Dr Newark DE 19702-8142 |
| Practice Telephone | 6317417029 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
1172000 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
7166 ALEXANDRA DR APT 6 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-8142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427277821 | Amee Shirish Patrawalla | Internal Medicine | 150 Bergen Street, Room I-354, Umdnj-nj Medical School Pulmonary Critical Care, Newark, NJ 07103 | 2007-04-24 |
| 1376627141 | Richmar Medical Associates | Internal Medicine | 268-306 Dr. M.l.k. Blvd., Newark, NJ 07102 | 2006-10-25 |
| 1588745772 | Marc Adelman | Internal Medicine | 268-306 Martin Luther King Blvd, Newark, NJ 07102 | 2006-10-17 |
| 1538118070 | Ismael A. Matus | Internal Medicine | 4745 Ogletown-stanton Road, Suite 220, Newark, DE 19713-2074 | 2006-05-10 |
| 1376515023 | Steven Y Chang | Internal Medicine | 150 Bergen St # Uh I-354, Umdnj - Micu Director, Newark, NJ 07103-2496 | 2006-02-06 |
| 1679983605 | Yazan Abdeen | Internal Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2014-04-29 |
| 1992047294 | John Arek Kileci | Internal Medicine | 150 Bergen St, Uh-i248, Newark, NJ 07103-2496 | 2013-03-25 |
| 1255618070 | Christiana Care Health Services Inc | Internal Medicine | 200 Hygeia Dr, Suite 2300, Newark, DE 19713-2049 | 2011-11-08 |
| 1982921888 | Lauren Blackwell | Internal Medicine | 150 Bergen St, Room I-248, Newark, NJ 07103-2496 | 2010-05-01 |
| 1710118229 | Haroon M. Raja | Internal Medicine | 4745 Ogletown-stanton Road, Map 1, Suite 220, Newark, DE 19713-2074 | 2009-07-31 |
| Find all providers in NEWARK | ||||
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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.