DR. THOMAS HENRY BENTON (NPI# 1174620819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174620819 |
| Entity Type | Individual |
| Full Name | DR. THOMAS HENRY BENTON |
| Credential | M.D. |
| Practice Address |
1801 E State Route K West Plains MO 65775-6616 |
| Mailing Address |
1500 N Westwood Blvd Poplar Bluff MO 63901-3318 |
| Practice Telephone | 4172572454 |
| Mailing Telephone | 4172572454 |
| Mailing Fax Number | 4172561119 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
C5130 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 102262001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891766580 | Thomas Bb Benton | Pediatrics | 5612 Nw 43rd St, Gainesville, FL 32653-3332 | 2006-01-30 |
| 1376629022 | Thomas Patrick Benton | Psychiatry & Neurology | 5th Ave & Roosevelt Rd, Hines, IL 60141 | 2006-10-27 |
| 1154318384 | Thomas W Benton | Anesthesiology | 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 | 2005-10-03 |
| Street Address |
1801 E STATE ROUTE K |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891772786 | Donald Wayne Lamoureaux | Family Medicine | 1801 E State Route K, West Plains, MO 65775-6616 | 2005-12-30 |
| 1306146675 | Levi Mcwilliams | Pharmacist | 1801 E State Route K, West Plains, MO 65775-6616 | 2010-11-02 |
| 1407163652 | Catherine Renesa Pearson | Nurse Practitioner | 1801 E State Route K, West Plains, MO 65775-6616 | 2010-09-09 |
| 1770658551 | Myrene Christine Wilson | Nurse Practitioner | 1801 E State Route K, West Plains, MO 65775-6616 | 2006-11-21 |
| 1871663625 | Louisa Lomax | Specialist | 1801 E State Route K, West Plains, MO 65791 | 2006-11-09 |
| 1871672212 | Richard Loveland | Emergency Medicine | 1801 E State Route K, West Plains, MO 65775-6616 | 2006-11-05 |
| 1639113798 | St. Louis Jc Vamc | Clinic/Center | 1801 E State Route K, West Plains, MO 65775-9998 | 2006-06-16 |
| 1154364040 | Frank C. Eddleman | Internal Medicine | 1801 E State Route K, West Plains, MO 65775 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407197684 | Samuel Charles Evans | Family Medicine | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2013-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728207 | Bryanna Scherer | Family Medicine | 961 Weatherstone Dr, Saint Charles, MO 63304-4520 | 2020-10-20 |
| 1689210924 | Jenna Matthews | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2019-11-21 |
| 1396210852 | Catholic Charities of St. Louis | Family Medicine | 10120 Crest Rd., St. Joachim Catholic Church-attn: Rural Parish Clinic, Cadet, MO 63630 | 2018-10-10 |
| 1437686508 | Paul Anthony Williams Jr. | Family Medicine | 4431 Mcpherson Ave, Saint Louis, MO 63108-2505 | 2017-05-18 |
| 1548516685 | John Jung | Family Medicine | 3014 Blattner Dr, Cape Girardeau, MO 63703-6361 | 2012-07-26 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1245494665 | Jeffrey A Wool | Family Medicine | 1531 E 32nd St, Suite 1a, Joplin, MO 64804-2925 | 2008-07-15 |
| 1245407543 | Harry D Haas | Family Medicine | 16703 N Calico Rd, Versailles, MO 65084-6434 | 2008-05-15 |
| 1194902510 | Gary Hubert Campbell | Family Medicine | 21 Conway Springs Dr, Chesterfield, MO 63017-3411 | 2008-01-28 |
| 1568596336 | Mahrukh Khan | Family Medicine | 7491 Big Bend Blvd., St. Louis, MO 63119 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on DR. THOMAS HENRY BENTON.
| 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.