DR. GERARD MARK BENECKI (NPI# 1457542656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457542656 |
| Entity Type | Individual |
| Full Name | DR. GERARD MARK BENECKI |
| Credential | M.D. |
| Practice Address |
328 S Stillaguamish Ave Arlington WA 98223-1660 |
| Mailing Address |
1400 E. Kincaid St Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604256641 |
| Practice Fax Number | 3606187663 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD60866946 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 200000358 | NC | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD60866946 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Boone Rd, Bremerton, WA 983121894 | 3604754847 | 3604754229 |
| Street Address |
328 S STILLAGUAMISH AVE |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462358 | Rodney Ellis Johnson | Orthopaedic Surgery | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2006-03-28 |
| 1710465570 | Ideal Option, Pllc | Clinic/Center | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2018-08-03 |
| 1295172716 | Ryan M. Vellinga | Orthopaedic Surgery | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2013-05-23 |
| 1982899274 | Ronald Padlan Fallarme | Physician Assistant | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2007-09-10 |
| 1639391501 | Paul Naumann | Orthopaedic Surgery | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2007-05-02 |
| 1518068774 | Loren L Johnson | Physical Therapist | 328 S Stillaguamish Ave, Arlington, WA 98223 | 2006-09-26 |
| 1558466029 | Edward W Eissmann | Orthopaedic Surgery | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2006-09-13 |
| 1225079478 | Michael B Riojas | Podiatrist | 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 2006-06-09 |
| 1689626160 | Stephen P Roesler | Orthopaedic Surgery | 328 S Stillaguamish Ave, Arlington, WA 98223 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1457609323 | Matthew Carnochan Kinney | Orthopaedic Surgery | 2445 Army Navy Dr Ste 307, Arlington, VA 22206-2998 | 2012-08-26 |
| 1043415250 | Venkat Raghav Rapuri | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2007-06-18 |
| 1124175674 | Richard Otto Sutton | Orthopaedic Surgery | 1901 S Bell St, Arlington, VA 22202-4511 | 2007-01-05 |
| 1043222722 | John Anthony Sazy | Orthopaedic Surgery | 431 Omega Dr, Suite 104, Arlington, TX 76014-2041 | 2006-08-12 |
| 1821003609 | Family Orthopedics and Rehabilitation, LLP | Orthopaedic Surgery | 609 Matlock Centre Cir, Arlington, TX 76015-2535 | 2006-07-30 |
| 1033137435 | Bruce I Prager | Orthopaedic Surgery | 400 W Arbrook Blvd Ste 120, Arlington, TX 76014-3107 | 2006-07-17 |
| 1689606352 | Thomas Bradley Benedict | Orthopaedic Surgery | 901 Medical Centre Dr Ste C, Arlington, TX 76012-4700 | 2006-07-06 |
| 1194769224 | Jjc Enterprises,pllc | Orthopaedic Surgery | 103 E 3rd St, Arlington, WA 98223-1348 | 2006-06-16 |
| Find all providers in ARLINGTON | ||||
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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.