MR. BENJAMIN AARON NICHOLAS CALVERT (NPI# 1083147912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083147912 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN AARON NICHOLAS CALVERT |
| Practice Address |
4 E Clark Bass Blvd Suite 205 Mcalester OK 74501-4269 |
| Practice Telephone | 9184218897 |
| Practice Fax Number | 9183020825 |
| Mailing Telephone | 9184218897 |
| Mailing Fax Number | 9183020825 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316195704 | Benjamin Lee Calvert | Family Medicine | 1003 Providence Dr, Suite 210, Newberg, OR 97132-7521 | 2008-08-28 |
| Street Address |
4 E CLARK BASS BLVD SUITE 205 |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189695 | Michael Frank Boyer | Anesthesiology | 4 E Clark Bass Blvd, Suite # 205, Mcalester, OK 74501-4285 | 2005-10-24 |
| 1962968503 | Mai Thuy Murphy | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Mcalester, OK 74501-4269 | 2019-02-19 |
| 1487187928 | Brian David Pullum | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-11 |
| 1932554581 | Christine Mandana Tavakoli | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Suite 301, Mcalester, OK 74501-4269 | 2016-05-02 |
| 1306200548 | Jonathan Paul Rohloff | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Suite 300, Mcalester, OK 74501-4269 | 2016-04-13 |
| 1104215516 | Osu Center for Health Sciences | Clinic/Center | 4 E Clark Bass Blvd, Suite 203, Mcalester, OK 74501-4269 | 2015-01-22 |
| 1053715144 | Mcalester Regional Health Center | Urology | 4 E Clark Bass Blvd, Suite 202, Mcalester, OK 74501-4269 | 2014-10-17 |
| 1639419393 | Mcalester Anesthesia and Respiratory Services Inc | Clinic/Center | 4 E Clark Bass Blvd, Ste. 205, Mcalester, OK 74501-4269 | 2013-02-18 |
| 1184975799 | Mcalester Regional Health Center | Urology | 4 E Clark Bass Blvd, Suite 202, Mcalester, OK 74501-4269 | 2012-09-21 |
| 1790040350 | Kylah Chey Anne Clifft | Nurse Practitioner | 4 E Clark Bass Blvd, Suite 203, Mcalester, OK 74501-4269 | 2012-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487187928 | Brian David Pullum | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-11 |
| 1770981177 | Edlyne Boyer | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-17 |
| 1366840753 | Patty Backer | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-17 |
| 1467850909 | Dana Jill Quinton | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033649363 | Cortex Neuromonitoring LLC | Specialist/Technologist, Other | 7380 S Olympia Ave, Pmb #301, Tulsa, OK 74132-1849 | 2017-06-19 |
| 1316482284 | Us Neurologic, Pllc | Specialist/Technologist, Other | 3000 W. Memorial Rd., Ste 123-330, Oklahoma City, OK 73120 | 2016-12-30 |
| 1144672445 | Red River Neurodiagnostics, LLC | Specialist/Technologist, Other | 2410 W Memorial Rd Ste C, #609, Oklahoma City, OK 73134-8048 | 2016-07-11 |
| 1841644374 | Neurassure, LLC | Specialist/Technologist, Other | 5830 Nw Expressway # 325, Warr Acres, OK 73132-5239 | 2016-04-21 |
| 1053784934 | Reggie Vulgamore | Specialist/Technologist, Other | 12301 N Mcarthur Blvd Apt 1811, Oklahoma City, OK 73142-3056 | 2015-11-02 |
| 1629457387 | Halstead Monitoring LLC | Specialist/Technologist, Other | 2226 Shadowlake Dr, Oklahoma City, OK 73159-7440 | 2015-05-27 |
| 1972994671 | Parker Professional Reading LLC | Specialist/Technologist, Other | Dept 1137, Tulsa, OK 74182-0001 | 2015-02-17 |
| 1639573140 | Leslie Castro | Specialist/Technologist, Other | 405 E California Ave, Oklahoma City, OK 73104 | 2014-10-13 |
| 1215359310 | Samantha Bollich | Specialist/Technologist, Other | 860654 S 3430 Rd, Chandler, OK 74834-7078 | 2014-01-09 |
| 1881947596 | Kevin C Farrell | Specialist/Technologist, Other | 4175 S Saint Louis Ave, Tulsa, OK 74105-4013 | 2012-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. BENJAMIN AARON NICHOLAS CALVERT.
| 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.