BENJAMIN MACLEAN LONGTON


Address: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003
Phone: 3367502000

BENJAMIN MACLEAN LONGTON (NPI# 1477167559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477167559
Entity Type Individual
Full Name BENJAMIN MACLEAN LONGTON
Practice Address 601 S Martin Luther King Jr Dr Fl 432
Winston Salem
NC 27110-0003
Practice Telephone 3367502000
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 601 S MARTIN LUTHER KING JR DR FL 432
City WINSTON SALEM
State NC
Zip Code 27110-0003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326652504 Emily Claire Skoglund Student in an Organized Health Care Education/Training Program 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 2020-09-03
1366057093 Valarie Gaines Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-10
1407460355 Shy'ann Frazier Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-08
1639783517 Brittany Moran Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-08
1457965337 Tauriana Jmia Ragin Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-08
1790390631 Keyonna Sturdivant Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-08
1114531183 Alexander Dergins Student in an Organized Health Care Education/Training Program 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 2020-09-07
1386258416 Laura Brooke Jenkins Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-05
1053925180 Brianna Ciara Fleming Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-05
1134733272 Kaelove Brena Richardson Occupational Therapist 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0003 2020-09-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326652454 Erica Shade Occupational Therapist 601 Martin Luther King Jr. Dr, 432 Fl Atkins Building, Winston-salem, NC 27110 2020-09-05
1841804838 Lisa Hartwell Occupational Therapist 601 Martin Luther King Jr. Dr, 432 Fl Atkins Building, Winston-salem, NC 27110 2020-09-07
1801140702 Dina Vallabh Speech-Language Pathologist 155 Baker House Trent Drive, Durham, NC 27110 2012-10-31
1386258432 Valerie Miller Student in an Organized Health Care Education/Training Program 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 2020-09-05
1942814074 Joyous Hawkins Student in an Organized Health Care Education/Training Program 601 S Martin Luther King, Winston Salem, NC 27110-0001 2020-09-05
1306450408 Katlyn Maiolo Occupational Therapist 601 Martin Luther King Jr. Drive, 432 Fl Atkins Building, Winston-salem, NC 27110-0001 2020-09-04
1649884701 Lila Grafius Occupational Therapist 601 Martin Luther King Dr 432 Fl Atkins Building, Winston Salem, NC 27110-0001 2020-09-04
1366927659 Judy Larose Foxworth Physical Therapist 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 2018-10-02
1285138123 Jessica Um Occupational Therapist 601 Martin Luther King Jr Dr, 432 Fl Atkins Building, Winston-salem, NC 27110-0001 2018-03-23
1356427793 Sharon Ambuske Prybylo Physical Therapist 330 Fl Atkins, 601 Mlk Jr. Drive, Winston Salem, NC 27110-0001 2006-10-28
Find all providers in zip 27110

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427659747 Lakisha Henry-simmons Student in an Organized Health Care Education/Training Program 4298 Falcon Rd, Winston Salem, NC 27106-9425 2020-11-03
1366040503 William Tommy Sparks Student in an Organized Health Care Education/Training Program 1012 S Hawthorne Rd, Winston Salem, NC 27103-4419 2020-10-10
1386258432 Valerie Miller Student in an Organized Health Care Education/Training Program 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 2020-09-05
1942814074 Joyous Hawkins Student in an Organized Health Care Education/Training Program 601 S Martin Luther King, Winston Salem, NC 27110-0001 2020-09-05
1326652504 Emily Claire Skoglund Student in an Organized Health Care Education/Training Program 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 2020-09-03
1750903233 Rachel Elizabeth Crespi Student in an Organized Health Care Education/Training Program 3517 Summerfield Ln, Winston Salem, NC 27106-4295 2020-05-07
1023639325 Christopher Gregg Marler Jr. Student in an Organized Health Care Education/Training Program 1 Medical Center Blvd Winston-salem N Surgery Clinic, Winston Salem, NC 27157-0001 2020-04-28
1912526005 Hunter Bright Yancey Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center 1 Me, Winston Salem, NC 27157-0001 2020-04-09
1033748371 Chukwuweike U Gwam Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Medical Center Boul, Winston Salem, NC 27157-0001 2020-04-08
1386273175 Mehrnoosh Ghandili Student in an Organized Health Care Education/Training Program Wake Forest Baptist Health One Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-03
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27110

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Dataset Information

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.

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