MARY BETH BENTON (NPI# 1326085051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326085051 |
| Entity Type | Individual |
| Full Name | MARY BETH BENTON |
| Credential | MD |
| Practice Address |
402 Keene St Columbia MO 65201-6626 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5734996084 |
| Practice Fax Number | 5734996088 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MDR2H46 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 126944 | 01 |
| MO | KANSAS MEDICAID | 2086348001 | 01 |
| MO | UNITED HEALTHCARE | 704051 | 01 |
| MO | 202817706 | 05 | |
| MO | BLUE CHOICE | 6642 | 01 |
| MO | BLUE SHIELD | 6642 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530173 | Mary Denise Benton | Dietitian, Registered | 7308 Celata Ln, San Diego, CA 92129-4551 | 2019-10-18 |
| 1760632566 | Mary J Benton | Behavioral Analyst | 906 Conley Dr, Mechanicsburg, PA 17055-5160 | 2008-09-29 |
| 1346353620 | Mary Kathryn Benton | Psychologist | 8180 Brecksville Rd, #115, Brecksville, OH 44141-1374 | 2006-08-17 |
| 1598125783 | Mary Benton | Counselor | 125 S Zack Hinton Pkwy, Mcdonough, GA 30253-3335 | 2016-03-01 |
| 1548426240 | Mary Benton | Counselor | 250 W Pine St, Colquitt, GA 39837-3532 | 2008-08-01 |
| 1083702971 | Mary Joyce Benton | Counselor | 1110 N Buckner Blvd Ste 102, Dallas, TX 75218-3498 | 2006-10-10 |
| 1669465688 | Mary E. Benton | Pediatrics | 1129 Hale Rd, Memphis, TN 38116-6373 | 2005-08-24 |
| Street Address |
402 KEENE ST |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546687 | Institute for Outpatient Surgery, LLC | Clinic/Center | 402 Keene St, Suite 200, Columbia, MO 65201-6626 | 2005-08-24 |
| 1972899862 | Jennifer Bickhaus | Obstetrics & Gynecology | 402 Keene St, Third Floor, Dc570.00, Columbia, MO 65201-6986 | 2011-06-20 |
| 1770711947 | Elizabeth K. Vonderhaar | Obstetrics & Gynecology | 402 Keene St, 3rd Floor, Columbia, MO 65201-6986 | 2009-06-26 |
| 1669644654 | Cynthia Komes | Physical Therapist | 402 Keene St, Columbia, MO 65201-6986 | 2008-03-31 |
| 1396921359 | Lisa Stankey | Physical Therapist | 402 Keene St, Columbia, MO 65201-6986 | 2008-01-21 |
| 1124065859 | Jennifer K Baskett | Nurse Practitioner | 402 Keene St, Columbia, MO 65201-6626 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988036 | Lexington Health Inc | Obstetrics & Gynecology | 700 Gervais St Ste 300, Columbia, SC 29201-3061 | 2020-10-08 |
| 1700403334 | Sarah Mai Truong | Obstetrics & Gynecology | 402 N Keene St # Dc570.00, Columbia, MO 65201-6986 | 2020-06-30 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1962049593 | Michael Wayne Mccullough | Obstetrics & Gynecology | 500 N Keene St Ste 400, Columbia, MO 65201-8104 | 2019-12-02 |
| 1144881509 | Stephanie Barata | Obstetrics & Gynecology | 402 N Keene St Ste 402, Columbia, MO 65201-6986 | 2019-06-26 |
| 1407411895 | Silki Pankajkumar Modi | Obstetrics & Gynecology | The Women's Center, 1801 Sunseet Drive, Columbia, SC 29203 | 2019-05-01 |
| 1780105080 | Jennifer Irene Higdon | Obstetrics & Gynecology | Women's Center, 1801 Sunset Drive, Columbia, SC 29203 | 2017-06-28 |
| 1184157984 | Robert Mcdavid | Obstetrics & Gynecology | 3609 Arbor Ct, Columbia, MO 65201-6542 | 2017-04-07 |
| 1831548254 | Darrah Berck | Obstetrics & Gynecology | 1601 E Broadway Ste 300, Columbia, MO 65201-8022 | 2016-06-07 |
| 1285013276 | Whitney Lynn Shepard | Obstetrics & Gynecology | 1228 Harden St Ste B, Columbia, SC 29204-1800 | 2015-05-22 |
| Find all providers in COLUMBIA | ||||
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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.