BENJAMIN DENICH (NPI# 1104436575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104436575 |
| Entity Type | Individual |
| Full Name | BENJAMIN DENICH |
| Practice Address |
800 Mercy Dr Council Bluffs IA 51503-3128 |
| Practice Telephone | 7123285000 |
| Mailing Telephone | 7123285000 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
113254 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
H160154 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 MERCY DR |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269301 | New Century Physicians of Iowa PC | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2005-07-14 |
| 1427515402 | Katelyn C Birkett | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2019-02-26 |
| 1588150809 | Nicholas J Crill | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-07-10 |
| 1689175093 | Brenna L Rasmussen | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-02-22 |
| 1639687114 | Chi Health Clinic Physician Enterprise-anesthesia LLC | Nurse Anesthetist, Certified Registered | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-18 |
| 1215445077 | Melissa Kay Klutts | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-15 |
| 1699227892 | Ashley M Manhart | Registered Nurse | 800 Mercy Dr, Attn: Diabetic Education, Council Bluffs, IA 51503-3128 | 2016-11-04 |
| 1447616313 | Juanita Daisy Alvarez-hall | Registered Nurse | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2016-01-07 |
| 1932582848 | Nicholas Sakis | Hospitalist | 800 Mercy Dr, Council Bluffs, IA 51503 | 2015-07-09 |
| 1578959904 | Amanda J Nastase | Nurse Anesthetist, Certified Registered | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790125557 | Yvonne A Cotton | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503 | 2013-06-26 |
| 1568710739 | Jennifer Marie Thiellen | Nurse Practitioner | 801 Harmony St Ste 202, Council Bluffs, IA 51503-3106 | 2012-08-20 |
| 1114214848 | Angela R. Vogel | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2011-07-01 |
| 1871796102 | Wendy Mcvay | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578432 | Priscilla Sumerlin | Nurse Practitioner | 320 Adventureland Dr Nw, Altoona, IA 50009-4234 | 2020-11-06 |
| 1487251260 | Jonna Lox | Nurse Practitioner | 14811 Walnut Meadows Dr, Urbandale, IA 50323-2734 | 2020-10-05 |
| 1235656000 | Angela Marie Schmitz | Nurse Practitioner | 3421 W 9th St Ste 104, Waterloo, IA 50702-5401 | 2017-08-23 |
| 1992259642 | Heather M Hitesman | Nurse Practitioner | 1351 W. Central Park, Suite 3300, Davenport, IA 52804-1889 | 2016-08-11 |
| 1821497538 | Dana Marie Jacobs | Nurse Practitioner | 102 W. Mcmurray Street, Prairie City, IA 50228 | 2014-08-19 |
| 1962485813 | Jacqueline K Harris | Nurse Practitioner | 101 W Washington St, Montezuma, IA 50171-7739 | 2005-11-23 |
| 1841800091 | Aliza Scarlett Barkdoll | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-08-03 |
| 1356969612 | Emily Frances Sutton | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-13 |
| 1487271102 | Katherine Lynn Schroeder | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-06-29 |
| 1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on BENJAMIN DENICH.
| 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.