DR. CASEY RAYMOND BENTON


Address: 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764
Phone: 7036483266

DR. CASEY RAYMOND BENTON (NPI# 1619291531) 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) 1619291531
Entity Type Individual
Full Name DR. CASEY RAYMOND BENTON
Credential M.D.
Practice Address 3580 Joseph Siewick Dr Ste 305
Fairfax
VA 22033-1764
Mailing Address 2901 Telestar Ct.
#300
Falls Church
VA 22042-1263
Practice Telephone 7036483266
Practice Fax Number 7036483264
Mailing Telephone 7035911688
Mailing Fax Number 7035911445
Enumeration Date 2010-03-22
Last Update Date 2020-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
0101258093 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1619291531 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
44035 Riverside Pkwy Ste 400, Leesburg, VA 201768260 7038585421 7038589573

Office Location

Street Address 3580 JOSEPH SIEWICK DR STE 305
City FAIRFAX
State VA
Zip Code 22033-1764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285638528 Stuart E. Sheifer Internal Medicine 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2005-06-01
1508009341 The Cardiovascular Group, PC Internal Medicine 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2009-04-09
1558566455 Mary C Tisch Physician Assistant 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2007-06-19
1073694485 Melissa Liu Myers Nurse Practitioner 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2006-10-18
1316958176 Erin S Simon Nurse Practitioner 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2006-08-10
1801896097 Gautam Ramakrishna Internal Medicine 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2005-07-28
1457353583 Ketan K. Trivedi Internal Medicine 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2005-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366074320 Han S Yoo Pharmacist 12200 West Ox Road, Fairfax, VA 22033 2020-02-07
1386137271 Ammar Orthodontics Pllc Dentist 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 2018-06-14
1013360940 Kellyn Patricia Dodd Nurse Practitioner 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 2016-07-15
1659721363 John Du Od PC Optometrist 12618 Victoria Station Ct, Fairfax, VA 22033 2016-06-14
1568861904 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 12734 Shoppes Lane, Fairfax, VA 22033 2014-08-21
1649696295 Patrisha Lultschik Nurse Practitioner 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2014-03-06
1912321910 Alyson Huber Nurse Anesthetist, Certified Registered 3600 Joseph Siewick Dr., Fairfax, VA 22033 2014-02-11
1578999314 Aiatulah Surmaty Optometrist 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2013-09-25
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
1760726665 Michelle Elise Schwartz Speech-Language Pathologist 3507 Curtice Farm Dr, Fairfax, VA 22033 2012-11-15
Find all providers in zip 22033

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639338551 Behnam Nonahal Tehrani Internal Medicine 8081 Innovation Park Dr # 700, Fairfax, VA 22031-4867 2008-06-05
1851434252 Virginia Cardiology, PC Internal Medicine 3020 Hamaker Ct Ste 500, Fairfax, VA 22031-2220 2007-02-15
1164569687 Kelly Charrise Epps-anderson Internal Medicine 8505 Arlington Blvd Ste 200, Fairfax, VA 22031 2007-01-31
1700940426 Steven F Berman Internal Medicine 12103 Green Ledge Ct, Apartment 301, Fairfax, VA 22033-2548 2006-12-20
1265543342 Anne E Summers Internal Medicine 3023 Hamaker Court, #100, Fairfax, VA 22031 2006-08-31
1831171800 Jason Mark Rashkin Internal Medicine 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 2005-11-16
1467459404 F. Joseph Hallal Internal Medicine 8505 Arlington Blvd, Suite 200, Fairfax, VA 22031-4621 2005-07-06
1285638528 Stuart E. Sheifer Internal Medicine 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2005-06-01
1477971109 David James Kopin Internal Medicine 8081 Innovation Park Dr # 700, Fairfax, VA 22031-4867 2014-03-31
1508009341 The Cardiovascular Group, PC Internal Medicine 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 2009-04-09
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 22033

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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