DR. BENJAMIN J HEGENBARTH (NPI# 1235516675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235516675 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN J HEGENBARTH |
| Credential | D.O. |
| Practice Address |
14981 Nth 174 Dr. Surprise AZ 85388 |
| Mailing Address |
1143 N Half Hitch Rd Prescott Valley AZ 86314-1462 |
| Practice Telephone | 6024180121 |
| Mailing Telephone | 6024180121 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 007738 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICAL LICENSE | 007738 | 01 |
| DEA | FH5441023 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14981 Nth 174 Dr., Surprise, AZ 85388 | 6024180121 |
| Street Address |
14981 NTH 174 DR. |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410887 | Kids Dentists of Surprise and Orthodontics, LLP | Dentist | 15180 N. Cotton Lane, Suite 104, Surprise, AZ 85388 | 2019-07-25 |
| 1588148803 | Moahk Behavioral Home LLC | Assisted Living Facility | 16645 West Central Street, Surprise, AZ 85388 | 2018-09-21 |
| 1881118867 | Haja Sankoh | Behavior Technician | 16645 West Central St, Surprise, AZ 85388 | 2017-08-01 |
| 1447644521 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 16840 W. Waddell Road, Suite 110, Surprise, AZ 85388 | 2015-03-26 |
| 1548512239 | We Care Medical Supply Plus | Durable Medical Equipment & Medical Supplies | 17317 W. Banff Lane, Surprise, AZ 85388 | 2012-10-05 |
| 1376871095 | Rebecca Kimberly Adamoli | Nurse's Aide | 17999 N. Surprise Farms Loop South, Surprise, AZ 85388 | 2009-11-19 |
| 1417281395 | Tracy Dunbar | Respite Care | 18245 West Port Royale Ln., Surprise, AZ 85388 | 2009-09-25 |
| 1467696617 | Eileen Georgina Soltis | Registered Nurse | 17359 W. Surprise Farms Loop N, Surprise, AZ 85388 | 2009-04-30 |
| 1538306360 | Wholistic Integrative Caring Network LLC | Nurse Practitioner | 16278 N. 164th Lane, Surprise, AZ 85388 | 2009-01-15 |
| 1285856252 | Joseph Anthony Dellamarggio | Psychologist | 17901 W. Lundberg Street, Surprise, AZ 85388 | 2007-05-02 |
| Find all providers in zip 85388 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558388 | Melissa Anne Harms | Family Medicine | 17968 W Ivy Ln, Surprise, AZ 85388-1652 | 2019-09-26 |
| 1316507049 | Jami Jean Wingert | Family Medicine | 15709 N 172nd Ln, Surprise, AZ 85388-0232 | 2019-06-14 |
| 1417456302 | Sheng Yun Peng | Family Medicine | 14780 W Mountain View Blvd. Suite # 110, Surprise, AZ 85374 | 2018-02-06 |
| 1689196891 | Edward Hoang Nam Vo | Family Medicine | 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 | 2017-07-10 |
| 1003293465 | Adelante Healthcare Inc | Family Medicine | 15317 W Bell Rd Ste 100, Surprise, AZ 85374-3900 | 2015-05-05 |
| 1295911030 | Patrick James Roscetti | Family Medicine | 13991 W. Grand Ave, Suite 105, Surprise, AZ 85374 | 2008-01-10 |
| 1790973006 | Neena K Uppal Md PC | Family Medicine | 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374 | 2007-10-11 |
| 1588868103 | Theodora E Paul | Family Medicine | 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379-8750 | 2007-06-14 |
| 1386761187 | Thomas E Inman Do Professional | Family Medicine | 16928 W Bell Rd, Suite 701, Surprise, AZ 85374-8948 | 2007-03-25 |
| 1336233899 | Nevedita S Saraswat | Family Medicine | 18715 N Reems Rd, Suite 140, Surprise, AZ 85374-8643 | 2006-10-02 |
| Find all providers in SURPRISE | ||||
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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.