MR. BENJAMIN GREGORY CHISM JR. (NPI# 1518470384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518470384 |
Entity Type | Individual |
Full Name | MR. BENJAMIN GREGORY CHISM JR. |
Credential | BSBME, CCDS, CEPS |
Practice Address |
3644 Biltmore Ave Tallahassee FL 32311-5701 |
Practice Telephone | 9042383770 |
Enumeration Date | 2017-11-14 |
Last Update Date | 2017-11-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZB0301X |
Specialist/Technologist, Other Specialization: Biomedical Engineering |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
3644 BILTMORE AVE |
City | TALLAHASSEE |
State | FL |
Zip Code | 32311-5701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033612486 | Christopher Bouyer | Social Worker | 3909 Reserve Drive, 525, Tallahassee, FL 32311 | 2018-03-12 |
1487184354 | Felicia Denise Cooper I | Nurse Practitioner | 1033 High Meadow Drive, Tallahassee, FL 32311 | 2017-06-14 |
1447599394 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1970 Gainsborough Drive, Suite 2, Tallahassee, FL 32311 | 2013-02-12 |
1811139090 | Kathy L Lee | Psychiatry & Neurology | 3592 Mossy Creek Ln, Tallahassee, FL 32311 | 2009-04-02 |
1376713248 | Kathryn B Lord | Psychologist | 3045 Dickinson Dr, Tallahassee, FL 32311 | 2008-03-07 |
1235200031 | Heritage Family Care,llc | Family Medicine | 1910 Hillbrook Trail, Suite 2, Tallahassee, FL 32311 | 2006-11-13 |
1215047675 | Board of County Commissioners Leon County | Ambulance | 911 Easterwood Dr, Tallahassee, FL 32311 | 2006-08-30 |
1073575858 | Bruce Alan Rodan | Radiology | 3259 Updike Ave, Tallahassee, FL 32311 | 2006-04-05 |
1275055378 | Punita Kapadia | Optometrist | 3535 Apalachee Pkwy, Tallahassee, FL 32311 | 2017-07-10 |
1912354283 | Daniel Bernabe Jr. | Family Medicine | 3900 Esplanade Way, Tallahassee, FL 32311 | 2016-05-17 |
Find all providers in zip 32311 |
Taxonomy Code | 246ZB0301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Biomedical Engineering |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255866133 | Anthony Macfarland I | Specialist/Technologist, Other | 2050 54th St N, Saint Petersburg, FL 33710-5144 | 2017-04-27 |
City | TALLAHASSEE |
Zip Code | 32311 |
Please comment or provide details below to improve the information on MR. BENJAMIN GREGORY CHISM JR..
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.