DR. CARLOS G BENAVIDES (NPI# 1528038643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528038643 |
| Entity Type | Individual |
| Full Name | DR. CARLOS G BENAVIDES |
| Credential | M.D. |
| Practice Address |
360 Tolland Tpke 1e Manchester CT 06042-1771 |
| Practice Telephone | 8606456675 |
| Mailing Telephone | 8606456675 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 014955 | CT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922459692 | Carlos Leonel Benavides | Dentist | 400 N Hwy 90 Byp Ste C2, Sierra Vista, AZ 85635-2293 | 2016-06-23 |
| 1144751579 | Carlos Fabricio Benavides | Counselor | 460 E Carson Plaza Dr, Suite 102, Carson, CA 90746-3228 | 2017-03-27 |
| Street Address |
360 TOLLAND TPKE 1E |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430219 | Lancelot P Morgan | Physician Assistant | 360 Tolland Tpke, 3c, Manchester, CT 06042-1771 | 2005-07-13 |
| 1205285814 | Vanessa Kristine Romero | Physician Assistant | 360 Tolland Tpke, Suite 1e, Manchester, CT 06042-1771 | 2016-06-06 |
| 1407265978 | Marissa Caye Carignan | Physician Assistant | 360 Tolland Tpke, Suite 1e, Manchester, CT 06042-1771 | 2014-08-08 |
| 1619393337 | Ptsma Inc | Clinic/Center | 360 Tolland Tpke, Suite 2e, Manchester, CT 06042-1771 | 2014-03-06 |
| 1578805164 | John James Griffith | Urology | 360 Tolland Tpke, Manchester, CT 06042 | 2013-03-21 |
| 1881930824 | Jessie R Mcmanus | Nurse Practitioner | 360 Tolland Tpke, Suite 2c, Manchester, CT 06042-1771 | 2012-12-19 |
| 1598053803 | Brian Kelly | Surgery | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1771 | 2011-07-20 |
| 1528240108 | Gastroenterology Associates of Manchester, LLC | Nurse Practitioner | 360 Tolland Tpke, Suite 2c, Manchester, CT 06042-1771 | 2007-12-05 |
| 1881884641 | Buckland Ear Nose & Throat LLC | Specialist/Technologist | 360 Tolland Tpke, Suiter 1e, Manchester, CT 06042-1771 | 2007-07-27 |
| 1679629489 | Monroe Heyward Rackow | Dentist | 360 Tolland Tpke, Suite 2a, Manchester, CT 06042-1771 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992227540 | Sandra M Cruz | Specialist | 1016a Buckingham Dr, Manchester, NJ 08759-5301 | 2017-07-14 |
| 1639609746 | Kacey Iannucci | Specialist | 401 Cypress St Ste 300, Manchester, NH 03103-3628 | 2017-06-13 |
| 1063816460 | Networked Practices Integration, Pllc | Specialist | 14 Temple Ct, Manchester, NH 03104-3545 | 2014-10-14 |
| 1831509264 | Theracare, Inc. | Specialist | 485 Memorial Dr, Suite 2, Manchester, KY 40962-9156 | 2014-05-07 |
| 1174883375 | Hillary Beth Hartshorn | Specialist | 315 Merrimack St, Manchester, NH 03103-4722 | 2012-05-22 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1427284256 | Jennifer Keri Camann | Specialist | 799 Mammoth Rd, Manchester, NH 03104-4556 | 2009-06-08 |
| 1770725384 | Alicia Stanton Md, Pa | Specialist | 195 W Center St, Manchester, CT 06040-4858 | 2009-03-27 |
| 1275775140 | Miles John Mccue | Specialist | 1269 Union St, Manchester, NH 03104-2043 | 2009-03-24 |
| 1124289301 | Carla Joan Lewis | Specialist | 307 Bridge St, Manchester, KY 40962-1266 | 2008-06-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on DR. CARLOS G BENAVIDES.
| 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.