BENJAMIN PAUL SMITH (NPI# 1104234970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104234970 |
| Entity Type | Individual |
| Full Name | BENJAMIN PAUL SMITH |
| Credential | M.D. |
| Practice Address |
4014 S River Rd Ste 6 East China MI 48054-2916 |
| Mailing Address |
4014 River Rd Ste 6 East China MI 48054-2916 |
| Practice Telephone | 8103296677 |
| Mailing Telephone | 8103296677 |
| Mailing Fax Number | 2483542796 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301111700 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R3625 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31700 Van Dyke Ave, Warren, MI 480937949 | 5862768200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498823 | Benjamin Smith | Behavioral Analyst | 9920 19th St Apt 59, Rancho Cucamonga, CA 91737-4268 | 2020-05-11 |
| 1326514217 | Benjamin Robert Smith | Counselor | 4509 Duplessis St, New Orleans, LA 70122-7600 | 2018-10-17 |
| 1144729328 | Benjamin Andrew Smith | Behavioral Analyst | 7755 Center Ave Ste 1100, Huntington Beach, CA 92647-3091 | 2018-02-02 |
| 1871954750 | Benjamin Smith | Physician Assistant | 15-2662 Pahoa Village Rd # 306, Pahoa, HI 96778 | 2016-03-18 |
| 1033579271 | Benjamin Smith | Counselor | 722 Mccain Dr, Monroe, LA 71203 | 2016-03-01 |
| 1295113322 | Benjamin Smith | Nurse Anesthetist, Certified Registered | 3879 Maggies Pl, Irondale, AL 35210-5509 | 2015-05-08 |
| 1821497793 | Benjamin Emory Smith | Social Worker | 425 Malbons Mills Rd, Skowhegan, ME 04976-4128 | 2014-08-17 |
| 1679853907 | Benjamin Levi Smith | Physical Therapist | 4824 Mcknight Rd, Texarkana, TX 75503-0935 | 2011-08-17 |
| 1497909550 | Benjamin David Smith | Optometrist | 1041 Acoma St, Denver, CO 80204-4034 | 2008-11-14 |
| 1376739631 | Benjamin Lightfoot Smith | Pediatrics | 302 Burnside Dr, San Antonio, TX 78209-2904 | 2007-09-20 |
| Street Address |
4014 S RIVER RD STE 6 |
| City | EAST CHINA |
| State | MI |
| Zip Code | 48054-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164657557 | Silvana Dhia Matte | Family Medicine | 4014 S River Rd Ste 6, East China, MI 48054-2916 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075178 | Melissa Lynn Wilson | Behavior Technician | 5104 King Rd, China, MI 48054 | 2020-02-20 |
| 1427400605 | Morgan Conlon Scallen | Technician, Other | 5494 St. Clair Hwy., China Twp., MI 48054 | 2016-07-12 |
| 1639586910 | Jessica Scholey | Obstetrics & Gynecology | 4150 River Rd., Suite D, East China, MI 48054 | 2014-07-17 |
| 1215075064 | Gordon Carl Charlton | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-02 |
| 1164431060 | Juan J Geldres | Surgery | 40140 S River Rd, Suite 3b, East China, MI 48054 | 2006-08-07 |
| 1861415754 | Thomas Gordon Wayne | Family Medicine | 4150 S River Rd, Ste F1, East China, MI 48054 | 2006-07-25 |
| 1588634620 | Cory D Zieger | Orthopaedic Surgery | 4150 River Rd Ste C, East China, MI 48054 | 2006-01-23 |
| 1831194992 | Kenneth Son | Internal Medicine | 4100 River Rd, Acute Care Dept., East China, MI 48054 | 2005-06-16 |
| 1699136218 | Marie Elizabeth Teschler | Nurse Practitioner | 4014 River Rd, East China, MI 48054 | 2016-03-09 |
| 1184055394 | St. Clair Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 4154 S River Rd, East China, MI 48054 | 2013-12-13 |
| Find all providers in zip 48054 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164657557 | Silvana Dhia Matte | Family Medicine | 4014 S River Rd Ste 6, East China, MI 48054-2916 | 2009-05-28 |
| 1841453586 | Suzanne V. Ross | Family Medicine | 4014 River Rd Ste 6, East China, MI 48054-2916 | 2008-07-02 |
| 1487775292 | Lisa Beth Scheel | Family Medicine | 4150 S River Rd Ste E, East China, MI 48054-2915 | 2007-04-02 |
| 1861415754 | Thomas Gordon Wayne | Family Medicine | 4150 S River Rd, Ste F1, East China, MI 48054 | 2006-07-25 |
| 1376585810 | Renee Susko | Family Medicine | 3436 S River Rd, East China, MI 48054-2204 | 2006-06-11 |
| 1255322509 | Mark T. O'brien | Family Medicine | 4150 River Rd, Suite F2, East China, MI 48054-2915 | 2005-11-03 |
| 1760471312 | Mark S Hamilton | Family Medicine | 4014 S River Rd, East China, MI 48054-2916 | 2005-10-17 |
| 1508167206 | Thomas G. Wayne M.d., P.l.l.c. | Family Medicine | 4150 S River Rd, Suite1, East China, MI 48054-2915 | 2010-11-11 |
| 1588983001 | Laura Lucio-reincke, Pllc | Family Medicine | 3436 S River Rd, Ste B, East China, MI 48054-2204 | 2010-05-24 |
| 1396943015 | Mark T. O'brien, D.o., P.C. | Family Medicine | 4150 River Rd, Suite F2, East China, MI 48054-2915 | 2007-07-03 |
| Find all providers in EAST CHINA | ||||
| City | EAST CHINA |
| Zip Code | 48054 |
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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.