BENJAMIN WHITTAM (NPI# 1508913328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508913328 |
| Entity Type | Individual |
| Full Name | BENJAMIN WHITTAM |
| Credential | MD |
| Practice Address |
705 Riley Hospital Drive Ste 4230 Indianapolis IN 46202 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179448896 |
| Practice Fax Number | 3172747481 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
01069666A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201052820 | 05 | |
| IN | ANTHEM PIN | 000000765563 | 01 |
| Street Address |
705 RILEY HOSPITAL DRIVE STE 4230 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386620854 | Christine B. Caltoum | Orthopaedic Surgery | 705 Riley Hospital Drive, Indianapolis, IN 46202-5218 | 2005-12-16 |
| 1265062640 | Julia D Kemen | Nurse Practitioner | 705 Riley Hospital Drive, Roc 4270, Indianapolis, IN 46202-5109 | 2020-01-24 |
| 1093378184 | Joseph Needleman | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Riley Hospital 5900, Indianapolis, IN 46202-5109 | 2019-04-15 |
| 1154898518 | Maria Fouad Abou Nader | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2018-10-24 |
| 1578047239 | Sharon M Luu | Clinic/Center | 705 Riley Hospital Drive, Msa3, Indianapolis, IN 46202 | 2018-09-19 |
| 1730618133 | Joshua Samuel Rosen | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 | 2017-06-08 |
| 1477086668 | William Christopher Gaylord | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Roc 4340, Indianapolis, IN 46202 | 2017-04-05 |
| 1902284276 | Michael Scott Foreman | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Roc 4210, Indianapolis, IN 46202 | 2015-05-07 |
| 1962836759 | Hillary S Blake | Psychologist | 705 Riley Hospital Drive, Indianapolis, IN 46219-4959 | 2013-08-28 |
| 1255600862 | Professional Staff Management | Clinical Exercise Physiologist | 705 Riley Hospital Drive, Rr127 Riley Hospital for Children, Indianapolis, IN 46202-5225 | 2011-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336366806 | Ethan I. Franke | Urology | 702 Barnhill Dr, Suite 246, Indianapolis, IN 46202-5128 | 2007-04-19 |
| 1740276880 | Martin Kaefer | Urology | 702 Barnhill Dr, Ste 4230, Indianapolis, IN 46202-5128 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881896876 | Lawrence Edward Allen | Urology | 854 Ashbrooke Ct, Anderson, IN 46012-9248 | 2007-06-03 |
| 1619051521 | Richard T. Senn, Md, Inc. | Urology | 113 W Southway Blvd, Kokomo, IN 46902-3653 | 2006-10-25 |
| 1255411385 | John Michael Hoog | Urology | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-10-16 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on BENJAMIN WHITTAM.
| 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.