MR. BENJAMIN JOHNSON


Address: 2211 Genesee St, Utica, NY 13501-5930
Phone: 3157931198

MR. BENJAMIN JOHNSON (NPI# 1518339951) 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) 1518339951
Entity Type Individual
Full Name MR. BENJAMIN JOHNSON
Practice Address 2211 Genesee St
Utica
NY 13501-5930
Mailing Address 201 Marion St
Herkimer
NY 13350-2111
Practice Telephone 3157931198
Practice Fax Number 3157333142
Mailing Telephone 3158682063
Enumeration Date 2015-10-26
Last Update Date 2015-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
23 019290 NY Physician Assistants & Advanced Practice Nursing Providers

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1851731590 Benjamin Erusha Johnson Surgery 2740 W Foster Ave Ste 213, Chicago, IL 60625-3532 2013-06-26
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Office Location

Street Address 2211 GENESEE ST
City UTICA
State NY
Zip Code 13501-5930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508863069 Rakesh M Bhan Internal Medicine 2211 Genesee St, Suite 200, Utica, NY 13501-5930 2005-06-30
1942759568 Laurie Allgaier Nurse Practitioner 2211 Genesee St, Utica, NY 13501-5930 2016-09-23
1003204231 Lynn Luthern Physician Assistant 2211 Genesee St, Suite 200, Utica, NY 13501-5930 2014-12-22
1619384377 Amanda Stewart Nurse Practitioner 2211 Genesee St, Suite 200, Utica, NY 13501-5930 2014-07-15
1992129878 Miranda Wade Physician Assistant 2211 Genesee St, Utica, NY 13501-5930 2014-02-12
1801221783 Philip Papadimas Physician Assistant 2211 Genesee St, Utica, NY 13501-5930 2013-09-10
1699026310 Connor Gill Physician Assistant 2211 Genesee St, Utica, NY 13501-5930 2012-09-20
1124312665 Kelly Marie Cenname Physician Assistant 2211 Genesee St, Utica, NY 13501-5930 2011-06-01
1336451756 Lisa Marie Holmes Nurse Practitioner 2211 Genesee St, Utica, NY 13501-5930 2010-07-14
1659523496 Abby S Hornyak Advanced Practice Midwife 2211 Genesee St, Utica, NY 13501-5930 2008-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700349248 Maria Kuehl Student in an Organized Health Care Education/Training Program 120 Hobart Street, Residency Program, Utica, NY 13501 2019-04-11
1497237622 Bobs Pharmacy LLC Durable Medical Equipment & Medical Supplies 430 Bleecker St, Utica, NY 13501 2018-09-04
1528565421 Michele Della Gala Social Worker 1427 Genesee Street, Utica, NY 13501 2018-04-09
1295274884 Sheila Denita Boyd Licensed Practical Nurse 505 Mary Street, Utica, NY 13501 2017-02-16
1770034993 Curry Mcmahon Massage Therapist 2707 Genesee St, Utica, NY 13501 2016-10-24
1689123614 Angelica Pascone Martin Physician Assistant 2215 Genesee St., Utica, NY 13501 2016-10-03
1942673942 Krista Lee Klopotek Registered Nurse 1151 Albany Street, Albany Elementary School, Utica, NY 13501 2015-11-12
1841618089 Katherine Macaulay Lucey Social Worker 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 2014-04-04
1578809067 Laurie A Baker Social Worker 2307 Genesee St, Utica, NY 13501 2013-01-02
1104170505 Amanda Knoeller Social Worker 683 Mary Street, Utica, NY 13501 2012-11-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093772303 Barbara Agans-sweeney Physician Assistant 1656 Champion Ave, Faxton St Lukes Healthcare, Utica, NY 13502-4830 2006-04-28
1366910978 Nicole Wilkinson Physician Assistant 1676 Sunset Ave, Utica, NY 13502-5416 2018-11-13
1992211411 Erin Wellenstein Smith Physician Assistant 2211 Genesee St Ste 200, Utica, NY 13501-5930 2017-12-20
1578072096 Morgan A Maitland Physician Assistant 1256 Culver Ave, Utica, NY 13501-4253 2017-09-27
1083083901 Christina Stanton Stewart Physician Assistant 1651 Oneida St, Utica, NY 13501-4866 2015-09-22
1275912370 Rachel Ann Bossi Physician Assistant 1656 Champlin Ave, Utica, NY 13502-4830 2015-05-21
1194167601 Sarah Dixon Physician Assistant 1676 Sunset Ave, Utica, NY 13502-5416 2013-07-25
1881944676 Nedzada Seho Physician Assistant 2209 Genesee St, Utica, NY 13501-5930 2012-09-19
1710137765 Annemarie Trevisani Labella Physician Assistant 116 Business Park Drive, 1st Floor, Utica, NY 13502-6313 2008-09-26
1306025960 Amy L.m. Roberson Physician Assistant 1522 Old Burrstone Rd, Utica, NY 13502-4804 2007-10-31
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Competitor

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City UTICA
Zip Code 13501

Improve Information

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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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