DR. BENJAMIN FAIR STORK (NPI# 1295176626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176626 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN FAIR STORK |
| Credential | D.O. M.P.H. |
| Practice Address |
7973 Thunder Blvd Fort Campbell KY 42223-5531 |
| Practice Telephone | 2707984677 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
02004570A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICAL LICENSE | 02004570A | 01 |
| Street Address |
7973 THUNDER BLVD |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790039030 | Reuben Alexander Arunasalem | Optometrist | 7973 Thunder Blvd, Fort Campbell, KY 42223 | 2012-11-08 |
| 1235540824 | Robert Buchanan | General Practice | 7973 Thunder Blvd, Fort Campbell, KY 42223-5531 | 2014-05-16 |
| 1356760805 | Katherine Bohringer | Family Medicine | 7973 Thunder Blvd, Fort Campbell, KY 42223-5531 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854693 | Loren Cheri Tapp | Preventive Medicine | 5664 Beaver Rd, Union, KY 41091-8133 | 2017-04-11 |
| 1790049211 | Sarah Bumgardner | Preventive Medicine | 128 Southland Dr, Lexington, KY 40503-1927 | 2012-06-28 |
| 1336435403 | Healthsure Medical Clinic Pllc | Preventive Medicine | 2406 Greatstone Pt, Lexington, KY 40504-3274 | 2011-06-27 |
| 1902195233 | Bluegrass Business Health | Preventive Medicine | 1150 Lexington Rd, Suite 104, Georgetown, KY 40324-8300 | 2011-04-07 |
| 1205147790 | Keisha Lashawn Mcfarlane | Preventive Medicine | Uk College of Public Health 111 Washington Ave, Lexington, KY 40536-2111 | 2010-06-29 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1003053117 | Kenneth Michael Farmer | Preventive Medicine | 17718 Popedale Rd, Louisville, KY 40245-4353 | 2009-01-12 |
| 1235385154 | Kathleen Harter | Preventive Medicine | 2000 Fern Valley Rd, Ford Medical, Louisville, KY 40213-3502 | 2008-08-12 |
| 1275795197 | Dorathy Lachman | Preventive Medicine | 873 Melanie Ln, Richmond, KY 40475-2784 | 2008-07-01 |
| 1922269307 | Stephanie K Pridemore | Preventive Medicine | 1618 Harrodsburg Rd, Lexington, KY 40504-3706 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.