DR. BENERANDA SOPHIA FORD-GLANTON (NPI# 1124229901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124229901 |
| Entity Type | Individual |
| Full Name | DR. BENERANDA SOPHIA FORD-GLANTON |
| Credential | M.D. |
| Practice Address |
301 W Lincoln St Ste 201 Belleville IL 62220-1901 |
| Mailing Address |
301 West Lincoln Street Suite 201 Belleville IL 62220 |
| Practice Telephone | 6186415803 |
| Practice Fax Number | 6186415813 |
| Mailing Telephone | 6186415803 |
| Mailing Fax Number | 6186415813 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036119047 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
301 W LINCOLN ST STE 201 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952720369 | Michael Benson | Urology | 36 Newark Ave Ste 200, Belleville, NJ 07109-4121 | 2014-04-14 |
| 1629167986 | Urological Associates of Belleville Il Ltd | Urology | 301 W Lincoln St Ste 57, Belleville, IL 62220-1901 | 2006-10-12 |
| 1083633283 | Erol Ulker | Urology | 36 Newark Avenue, Suite 200 Urology Consultants Pa, Belleville, NJ 07109-4121 | 2006-07-19 |
| 1295049666 | Msa Alliance, LLC | Urology | 4550 Memorial Dr, Ste 350, Belleville, IL 62226-5372 | 2010-07-28 |
| 1689988057 | Msa Alliance, LLC | Urology | 4550 Memorial Dr, Ste 280, Belleville, IL 62226-5372 | 2010-07-28 |
| 1801042700 | James Patrick Rybak | Urology | 4550 Memorial Dr, Ste. 280, Belleville, IL 62226-5372 | 2008-08-11 |
| 1700973674 | Michael Gerard Guignon Sr. | Urology | 4550 Memorial Dr, Ste. 280, Belleville, IL 62226 | 2006-10-10 |
| 1548352115 | David Joseph Ray | Urology | 2420 G St, Belleville, KS 66935-2400 | 2006-09-29 |
| 1609982099 | Urology Consultants Pa | Urology | 36 Newark Avenue, Suite 200, Belleville, NJ 07109-4121 | 2006-08-21 |
| 1649294034 | Michael P Ciccone | Urology | 36 Newark Ave, Suite 200 Urology Consultants Pa, Belleville, NJ 07109-4121 | 2006-07-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on DR. BENERANDA SOPHIA FORD-GLANTON.
| 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.