BENJAMIN KING (NPI# 1063876472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063876472 |
| Entity Type | Individual |
| Full Name | BENJAMIN KING |
| Practice Address |
602 Ivy St Elmira NY 14905-1646 |
| Mailing Address |
3312 Wheelock Dr Elmwood Park WI 53405-4550 |
| Practice Telephone | 6077378157 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467864413 | Benjamin King | Pharmacist | 5226 Reddington Dr, Dublin, OH 43017-9662 | 2014-05-27 |
| 1114293727 | Benjamin King | Urology | 111 Colchester Ave # Ep-5, Burlington, VT 05401-1473 | 2012-03-28 |
| 1285829036 | Benjamin Liang King | Radiology | 8700 Beverly Blvd Ste Ac1022, West Hollywood, CA 90048-1804 | 2007-09-13 |
| 1346468360 | Benjamin C King | Massage Therapist | 800 Sprague Ave, Suite #104, Walla Walla, WA 99362-3900 | 2007-04-23 |
| 1356942841 | Benjamin King | Pharmacist | 8301 Rogers Ave, Fort Smith, AR 72903-5236 | 2020-11-03 |
| 1114568045 | Benjamin C King | Chiropractor | 3212 N 13th St, Terre Haute, IN 47804-1236 | 2019-10-02 |
| 1639523210 | Benjamin King | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-04-20 |
| 1144612433 | Benjamin King | Pharmacist | 11390 Montgomery Rd, Cincinnati, OH 45249-2313 | 2015-02-24 |
| 1619395654 | Benjamin Justin King | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2014-04-06 |
| 1871937870 | Benjamin A King | Ophthalmology | 200 Hawkins Dr, Iowa City, IA 52242 | 2013-04-20 |
| Street Address |
602 IVY ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174598999 | Carl M. Charnetski | Internal Medicine | 602 Ivy St, 2nd Floor, Elmira, NY 14905-1646 | 2006-02-23 |
| 1366080137 | Erin Rose Terry | Physical Therapist | 602 Ivy St, Elmira, NY 14905-1646 | 2019-12-12 |
| 1578101341 | Bruce Stropko | Physical Therapist | 602 Ivy St, Elmira, NY 14905-1646 | 2019-12-12 |
| 1811416589 | Sarah J Brimmer | Nurse Practitioner | 602 Ivy St, Elmira, NY 14905-1646 | 2017-09-14 |
| 1487000923 | Ryan Matthew White | Student in an Organized Health Care Education/Training Program | 602 Ivy St, Elmira, NY 14905-1646 | 2016-05-13 |
| 1689038853 | Faisal Noorzad | Student in an Organized Health Care Education/Training Program | 602 Ivy St, Elmira, NY 14905-1646 | 2016-04-13 |
| 1598129868 | Kenneth Onuorah | Family Medicine | 602 Ivy St, Elmira, NY 14905-1646 | 2016-04-12 |
| 1386028843 | Knickerbocker Dialysis Inc | Clinic/Center | 602 Ivy St, Elmira, NY 14905-1646 | 2015-07-15 |
| 1679960066 | Donald Ray Foster | Internal Medicine | 602 Ivy St, Elmira, NY 14905-1646 | 2015-04-23 |
| 1427445055 | Brian James Richards | Student in an Organized Health Care Education/Training Program | 602 Ivy St, Elmira, NY 14905-1646 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467287 | Justin Alvarez Holmes | Student in an Organized Health Care Education/Training Program | 200 Madison Ave Ste 2e, Elmira, NY 14901-3219 | 2020-05-01 |
| 1669934204 | Lauren Michelle Yee | Student in an Organized Health Care Education/Training Program | 555 St Joseph's Blvd, 1st Floor, Elmira, NY 14901-3223 | 2019-04-02 |
| 1497252977 | Jennifer Ruch | Student in an Organized Health Care Education/Training Program | 329 Noble St, Elmira, NY 14901-1326 | 2018-04-10 |
| 1558896886 | Daniel Louie | Student in an Organized Health Care Education/Training Program | 571 Saint Josephs Blvd Ste 3, Elmira, NY 14901-3230 | 2017-04-24 |
| 1023541877 | Bonnie Theresa Acosta | Student in an Organized Health Care Education/Training Program | 806 Bennett St, Elmira, NY 14904-2014 | 2017-04-09 |
| 1871026229 | Jennifer Huber | Student in an Organized Health Care Education/Training Program | 600 Ivy St Ste 206, Elmira, NY 14905-1627 | 2017-04-04 |
| 1871025551 | Wesley Livingston | Student in an Organized Health Care Education/Training Program | 711 W Water St, Elmira, NY 14905-2442 | 2017-03-31 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1700232709 | Michael Kochik | Student in an Organized Health Care Education/Training Program | 407 Laurentian Pl Apt C, Elmira, NY 14904-2819 | 2016-05-09 |
| Find all providers in ELMIRA | ||||
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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.