ELIAS RAY BENITEZ JR. (NPI# 1124141924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124141924 |
| Entity Type | Individual |
| Full Name | ELIAS RAY BENITEZ JR. |
| Credential | MD |
| Practice Address |
1200 112th Ave Ne B100 Bellevue WA 98004-3732 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 4254621132 |
| Practice Fax Number | 4254563668 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD000048532 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 California Ave Sw Ste 300, Seattle, WA 981163307 | 2063203399 | 2063205506 |
| Street Address |
1200 112TH AVE NE B100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359984 | Linda M Fluke | Nurse Practitioner | 1200 112th Ave Ne, Ste C160, Bellevue, WA 98004-3732 | 2005-10-10 |
| 1427585934 | Meera Ajit Patel | Family Medicine | 1200 112th Ave Ne, Bellevue, WA 98004-3732 | 2017-05-15 |
| 1073046660 | Huey Yu | Pharmacist | 1200 112th Ave Ne, Suite A102, Bellevue, WA 98004-3732 | 2017-04-10 |
| 1962933150 | Edward Im Dds Ps | Dentist | 1200 112th Ave Ne, C222, Bellevue, WA 98004-3732 | 2017-03-21 |
| 1144760992 | James M. Thomas, P.s. | Dentist | 1200 112th Ave Ne, C250, Bellevue, WA 98004-3732 | 2017-02-27 |
| 1932656287 | Jennifer Rose Briant | Physical Therapist | 1200 112th Ave Ne, Suite C260, Bellevue, WA 98004-3732 | 2016-09-03 |
| 1871048439 | Blake Donald Rowinski | Physical Therapist | 1200 112th Ave Ne, Suite C260, Bellevue, WA 98004-3732 | 2016-08-23 |
| 1720442932 | Swedish Health Services | Radiology | 1200 112th Ave Ne, Suite B250, Bellevue, WA 98004-3732 | 2016-04-13 |
| 1912367210 | Chung & Kim, Dds, Pllc | Dentist | 1200 112th Ave Ne, Ste B275, Bellevue, WA 98004-3732 | 2016-02-29 |
| 1407231707 | Skyler P. Tateishi | Physical Therapist | 1200 112th Ave Ne, Suite C260, Bellevue, WA 98004-3732 | 2015-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1235595083 | Lawrence Loeb | Internal Medicine | 13808 Ne 36th Pl, Bellevue, WA 98005-1414 | 2016-01-10 |
| 1982952750 | Tianhai Guo | Internal Medicine | 1489 158th Pl Ne, Bellevue, WA 98008-2782 | 2012-08-27 |
| 1346504511 | Peien Fan | Internal Medicine | 1135 116th Ave Ne Ste 500, Bellevue, WA 98004-4627 | 2012-07-02 |
| 1801173901 | Kim-thuy T Truong | Internal Medicine | 1231 116th Avenue Ne, Suite 400, Bellevue, WA 98004 | 2011-11-03 |
| 1295971273 | Wilbur G Fiscus II | Internal Medicine | 1264 Glen Aspen Drive, Bellevue, ID 83313-0419 | 2008-12-23 |
| 1033371463 | Suresh Reddy Mereddy | Internal Medicine | 1414 116th Ave Ne Ste F, Bellevue, WA 98004-3801 | 2008-06-26 |
| 1902083587 | Gaurav Aggarwal | Internal Medicine | 11511 Ne 10th St # E460a, Bellevue, WA 98004-8578 | 2008-01-26 |
| 1962689794 | Lara Maria Kierlin | Internal Medicine | 12826 Se 40th Ln Ste 203, Bellevue, WA 98006-4276 | 2008-01-23 |
| 1710161260 | Kutsys Medical Practice Incorporated | Internal Medicine | 1545 116th Ave Ne Ste 104, Bellevue, WA 98004-3813 | 2007-12-19 |
| Find all providers in BELLEVUE | ||||
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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.