BENJAMIN MALDONADO (NPI# 1588117816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588117816 |
| Entity Type | Individual |
| Full Name | BENJAMIN MALDONADO |
| Credential | CSA |
| Practice Address |
29277 Us Highway 19 N Clearwater FL 33761-2102 |
| Mailing Address |
7324 Southwest Fwy Ste 1550 Houston TX 77074-2053 |
| Practice Telephone | 8328048702 |
| Mailing Telephone | 7137799800 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4197 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063679454 | Benjamin A Maldonado Jr. | Dentist | 576 Springfield Ave, Berkeley Heights, NJ 07922-1055 | 2008-05-22 |
| Street Address |
29277 US HIGHWAY 19 N |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003096652 | Elizabeth Marie Weaver | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2007-11-13 |
| 1891303657 | Patrick Osei-asante | Specialist/Technologist, Other | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2020-07-17 |
| 1043838311 | Fahima Hamdan | Specialist/Technologist, Other | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2020-07-13 |
| 1265050413 | Candace Corbin | Registered Nurse | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2020-07-13 |
| 1568090975 | Sunshine Surgical Assist Inc | Specialist | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2020-03-31 |
| 1003452426 | Felix Esparra-santiago | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2019-11-20 |
| 1881170835 | Bruce J. Farmer | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-07-12 |
| 1558860163 | Jeffrey Smith | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-02-09 |
| 1750894010 | Jennifer Marie Garner Jr. | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2017-11-08 |
| 1770035172 | Brandi Holden | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1487108288 | Andreas Demopoulos | Physician Assistant | 19277 Hwy 19 N, Clearwater, FL 33761-7360 | 2016-08-09 |
| 1003096652 | Elizabeth Marie Weaver | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2007-11-13 |
| 1558323782 | Amy Termine | Physician Assistant | 29277 Us 19 N, Clearwater, FL 33761-2102 | 2006-04-04 |
| 1871567313 | Nancy J Andrejack | Physician Assistant | 1865 N Keene Rd, Clearwater, FL 33755-2314 | 2006-02-13 |
| 1538162292 | Brenda Hoy | Physician Assistant | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 | 2005-05-24 |
| 1003452426 | Felix Esparra-santiago | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2019-11-20 |
| 1881170835 | Bruce J. Farmer | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-07-12 |
| 1558860163 | Jeffrey Smith | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-02-09 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
Please comment or provide details below to improve the information on BENJAMIN MALDONADO.
| 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.