MR. MATTHEW LAWRENCE BENISH (NPI# 1104360650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104360650 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW LAWRENCE BENISH |
| Credential | PA-C, RD |
| Practice Address |
555 W Grand Ave B-2 Wisconsin Rapids WI 54495 |
| Mailing Address |
500 E Veterans St Tomah WI 54660-3105 |
| Practice Telephone | 7154244682 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 1071971 | Dietary & Nutritional Service Providers | |
| Y | 363A00000X | Physician Assistant | 3895 - 23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 W GRAND AVE B-2 |
| City | WISCONSIN RAPIDS |
| State | WI |
| Zip Code | 54495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538322425 | Ryan August Peine | Optometrist | 555 W Grand Ave, Wisconsin Rapids, WI 54495-2784 | 2008-07-09 |
| 1144701541 | Matthew Paul Towns | Physician Assistant | 555 W Grand Ave, Wisconsin Rapids, WI 54495-2784 | 2018-08-23 |
| 1558871525 | Kheson Kaballa Madison | Physical Therapy Assistant | 555 W Grand Ave, Wisconsin Rapids, WI 54495-2784 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306495106 | Jane Kommer | Technician | 1641 Boles Street, Wisconsin, WI 54495 | 2019-09-05 |
| 1306020243 | Thomas W Tepper | Hearing Instrument Specialist | 220 S. 3rd Avenue, Suite 101, Wisconsin Rapids, WI 54495 | 2007-12-27 |
| 1669515276 | Rebecca Jane White | Dietitian, Registered | 1041 Hill Street, Wisconsin Rapids, WI 54495 | 2007-02-14 |
| 1801958871 | Gnp House Calls, LLC | Nurse Practitioner | 5535 County Hwy Q, Wisconsin Rapids, WI 54495 | 2006-12-15 |
| 1497843429 | Robert E Mcgrath | Dentist | 1730 7th Street So, Wisconsin Rapids, WI 54495 | 2006-10-11 |
| 1679003024 | Aaron Ernest Eichsteadt | Physical Therapist | 410 Dewey Street, Wisconsin Rapids, WI 54495 | 2017-06-19 |
| 1205097870 | Michael Jan Nelson Phd | Psychologist | 420 1st Ave S, Wisconsin Rapids, WI 54495 | 2008-06-17 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| 1881605335 | Carlson Gi Clinic | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| 1790980266 | Wheels of Independence, Inc. | Non-emergency Medical Transport (VAN) | 2703 Industrial St, Wisconsin Rapids, WI 54495-2229 | 2007-06-15 |
| Find all providers in zip 54495 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841223427 | Gregory F Broyles | Physician Assistant | 410 Dewey Street, Wisconsin Rapids, WI 55494-4715 | 2006-07-08 |
| 1639718364 | Emily M Murphy | Physician Assistant | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 | 2019-12-28 |
| 1578121828 | Kelly Ann Brusky | Physician Assistant | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2019-06-02 |
| 1669933818 | Renee Lynn Schessler | Physician Assistant | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 | 2019-03-29 |
| 1215480421 | Florence Tavera Neilitz | Physician Assistant | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2016-07-25 |
| 1932526910 | Jacob George Malooly | Physician Assistant | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 | 2014-03-27 |
| 1063767184 | Caitlin Parmeter | Physician Assistant | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 | 2012-07-14 |
| 1851609994 | Lindsay Beth Reimer | Physician Assistant | 420 Dewey St, Wisconsin Rapids, WI 54494-4714 | 2010-09-23 |
| 1326275900 | Ihc-riverview Emergency Physicians, LLC | Physician Assistant | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2009-06-22 |
| 1821172958 | Linda S Wogahn | Physician Assistant | 420 Dewey St, Wisconsin Rapids, WI 54494-4714 | 2006-10-25 |
| Find all providers in WISCONSIN RAPIDS | ||||
| City | WISCONSIN RAPIDS |
| Zip Code | 54495 |
Please comment or provide details below to improve the information on MR. MATTHEW LAWRENCE BENISH.
| 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.