DR. BENJAMIN WISNER (NPI# 1396891982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396891982 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN WISNER |
| Credential | MD |
| Practice Address |
2315 E Harmony Rd Ste 140 Fort Collins CO 80528-8620 |
| Practice Telephone | 9704846700 |
| Practice Fax Number | 9704845723 |
| Mailing Telephone | 9704846700 |
| Mailing Fax Number | 9704845723 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 48586 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02452049 | 05 |
| Street Address |
2315 E HARMONY RD STE 140 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-8620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124001482 | Thomas M Hecker | Podiatrist | 2315 E Harmony Rd, Suite 130, Fort Collins, CO 80528-8620 | 2005-11-21 |
| 1821424334 | Sara Jean Schaefer | Nurse Practitioner | 2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 | 2013-09-17 |
| 1174888580 | Lisa C Eddy | Physical Therapist | 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528-8620 | 2012-07-11 |
| 1972829737 | Brenda Marie George | Psychiatry & Neurology | 2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 | 2010-04-19 |
| 1508192196 | Catherine L Hohol | Physician Assistant | 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528-8620 | 2009-11-02 |
| 1699902668 | Joy E Dejong Lago | Psychologist | 2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 | 2009-06-17 |
| 1245475524 | Poudre Valley Health Care Inc | Clinic/Center | 2315 E Harmony Rd, Suite 130, Fort Collins, CO 80528-8620 | 2008-12-15 |
| 1801044722 | William R. Shaffer | Psychiatry & Neurology | 2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 | 2008-09-04 |
| 1851509137 | Scott B. Strader | Psychiatry & Neurology | 2315 E Harmony Rd, Suite 110, Fort Collins, CO 80528-8620 | 2007-05-18 |
| 1760697171 | Farrah Datko | Internal Medicine | 2315 E Harmony Rd, Suite 170, Fort Collins, CO 80528-8620 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| 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 |
|---|---|---|---|---|
| 1396350476 | Poudre Valley Medical Group, LLC | Urology | 2315 E Harmony Rd Ste 140, Fort Collins, CO 80528-8620 | 2020-09-15 |
| 1275747727 | Benjamin J Girdler | Urology | 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528-8620 | 2007-05-10 |
| 1295848489 | Clifford J Nemeth | Urology | 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528-8620 | 2006-08-15 |
| 1245270842 | Michael R Lee | Urology | 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528-8620 | 2006-06-08 |
| 1164479853 | Stephen P Brutscher | Urology | 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528-8620 | 2006-05-28 |
| 1285680306 | Randy W Everett | Urology | 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528 | 2006-05-26 |
| 1285680538 | Timothy H Soper | Urology | 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528-8620 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| 1932718418 | Portercare Adventist Health System | Urology | 2352 Meadows Blvd Ste 300u, Castle Rock, CO 80109-8406 | 2020-07-30 |
| 1417566274 | Portercare Adventist Health System | Urology | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-07-28 |
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1316597990 | Advanced Urology, Pllc | Urology | 1411 S Potomac St Ste 210, Aurora, CO 80012-4538 | 2019-09-16 |
| 1629628201 | Advanced Urology, Pllc | Urology | 2030 Mountain View Ave Ste 420, Longmont, CO 80501-3182 | 2019-09-16 |
| 1528618303 | Advanced Urology, Pllc | Urology | 4743 Arapahoe Ave Ste 104, Boulder, CO 80303-1123 | 2019-09-13 |
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1093207680 | University Physicians Incorporated | Urology | 9330 S University Blvd Ste 230, Highlands Ranch, CO 80126-5049 | 2018-05-31 |
| 1548787088 | Advanced Urological Care | Urology | 2222 N Nevada Ave Ste 5005, Colorado Springs, CO 80907-6865 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.