BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC (NPI# 1609948009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609948009 |
| Entity Type | Organization |
| Organization Name | BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC |
| Other Organization Name | MOSES BENAVIDES MD |
| Practice Address |
222 Bowman St Suite 3 Morristown TN 37813-3856 |
| Mailing Address |
1443 W Morris Blvd Suite B Morristown TN 37813 |
| Practice Telephone | 4233181185 |
| Practice Fax Number | 4233181015 |
| Mailing Telephone | 4233181185 |
| Mailing Fax Number | 4233181015 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-06-02 |
| Authorized Official Name | MR. MOSES BENAIAH BENAVIDES (CEO) |
| Authorized Official Telephone | 4233181185 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MD 0000040290 | TN | Ambulatory Health Care Facilities |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
MD0000040290 | TN | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD0000040290 | TN | Ambulatory Health Care Facilities |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
MD0000040290 | TN | Ambulatory Health Care Facilities |
| N | 261QM1103X |
Clinic/Center Specialization: Military Ambulatory Procedure Visits Operational (Transportable) |
MD0000040290 | TN | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
DS00000075 | TN | Ambulatory Health Care Facilities |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
MD0000040290 | TN | Ambulatory Health Care Facilities |
| N | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
MD00000402 | TN | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | BB9370189 | 01 |
| Other Name | Type Code |
|---|---|
| Moses Benavides MD | Other Name - Individual/Organization |
| Street Address |
222 BOWMAN ST SUITE 3 |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389961 | Zinamong Monzon-benavides | Dentist | 222 Bowman St, Suite 3, Morristown, TN 37813-3856 | 2005-07-12 |
| 1326332768 | Moses Benaiah Benavides | Family Medicine | 222 Bowman St, Suite # 3, Morristown, TN 37813-3856 | 2011-06-02 |
| 1912095175 | Fosterkare Anesthetist Associates | Anesthesiology | 222 Bowman St, Suite 3, Morristown, TN 37813-3856 | 2006-10-11 |
| 1326132572 | Allen Ricardo Foster | Anesthesiology | 222 Bowman St, Suite 3, Morristown, TN 37813-3856 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1265042238 | Better Care Clinic | Family Medicine | 2021 E Andrew Johnson Hwy, Morristown, TN 37814-5409 | 2020-08-05 |
| 1932666401 | Palm Integrative Medicine Nj LLC | Family Medicine | 435 South St Ste 160, Morristown, NJ 07960-6477 | 2019-02-20 |
| 1952876898 | Healthstar Physicians, P.C. | Family Medicine | 4138 Durham Lndg, Morristown, TN 37813-1006 | 2018-10-08 |
| 1972844082 | Orlanda Merritt | Family Medicine | 2264 Cambridge Dr, Morristown, TN 37814-2769 | 2013-03-14 |
| 1760699474 | Kristine Lynn Gedroic | Family Medicine | 465 South Street, Suite 101, Morristown, NJ 07960-8803 | 2007-05-16 |
| 1194943191 | Winthrop Chalmers Dillaway IIi | Family Medicine | 11 Willard Pl, Morristown, NJ 07960-2947 | 2007-04-23 |
| 1730305897 | Morristown Family Medicine, P.C. | Family Medicine | 405 Mcfarland St, Morristown, TN 37814-3920 | 2007-04-17 |
| 1902022270 | Mark Joseph Calderon | Family Medicine | 465 South St Ste 210, Morristown, NJ 07960-6439 | 2007-04-17 |
| 1386780310 | Thomas G Cioce | Family Medicine | 95 Madison Ave Fl 2, Morristown, NJ 07960-6092 | 2007-01-29 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
Please comment or provide details below to improve the information on BOULEVARD EAST FAMILY AND OCCUPATIONAL MEDICINE INC.
| 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.