BENSON MEDICAL GROUP PS (NPI# 1629329636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629329636 |
| Entity Type | Organization |
| Organization Name | BENSON MEDICAL GROUP PS |
| Practice Address |
110 N Laventure Rd Suite C Mount Vernon WA 98273-3901 |
| Practice Telephone | 3608994526 |
| Practice Fax Number | 3608994534 |
| Mailing Telephone | 3608994526 |
| Mailing Fax Number | 3608994534 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Authorized Official Name | DANIELLE RENAE BARTLETT (ADMINISTRATOR) |
| Authorized Official Telephone | 3608994526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
110 N LAVENTURE RD SUITE C |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523054 | Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. | Physical Therapist | 110 N Laventure Rd, Ste A, Mount Vernon, WA 98273-3901 | 2005-07-21 |
| 1477018042 | Davis Hackman | Physical Therapist | 110 N Laventure Rd, Mount Vernon, WA 98273-3901 | 2019-02-07 |
| 1871954305 | Aaron J Arnold | Family Medicine | 110 N Laventure Rd, Mount Vernon, WA 98273-3901 | 2016-03-10 |
| 1285023028 | Christina Jepperson | Nurse Practitioner | 110 N Laventure Rd, Suite C, Mount Vernon, WA 98273-3901 | 2015-01-16 |
| 1598178766 | Taya Marie Battistella | Physical Therapist | 110 N Laventure Rd, Suite A, Mount Vernon, WA 98273-3901 | 2014-06-05 |
| 1841637543 | Stacy J Asarian | Physical Therapist | 110 N Laventure Rd, Suite A, Mount Vernon, WA 98273-3901 | 2013-06-04 |
| 1497071765 | Erin Anne Davidson | Nurse Practitioner | 110 N Laventure Rd, Suite C, Mount Vernon, WA 98273-3901 | 2010-04-12 |
| 1184856254 | Shaun Evan Kisser | Physical Therapist | 110 N Laventure Rd, Suite A, Mount Vernon, WA 98273-3901 | 2009-08-21 |
| 1154550853 | Laura Ann Mills | Physical Therapist | 110 N Laventure Rd, Suite A, Mount Vernon, WA 98273-3901 | 2009-07-02 |
| 1669624268 | Mary Hughes Larsen | Physical Therapist | 110 N Laventure Rd, Suite A, Mount Vernon, WA 98273-3901 | 2008-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457694507 | Andrew J Cordaro | General Practice | 81 Sycamore Ave, Mount Vernon, NY 10553-1241 | 2013-03-27 |
| 1871762518 | Skagit Valley Medical Center, Inc Ps | General Practice | 1300 E College Way, Mount Vernon, WA 98273-5619 | 2008-02-27 |
| 1407071954 | Arvin Family Practice P.s.c. | General Practice | 185 Newcomb Ave, Mount Vernon, KY 40456-2733 | 2007-04-17 |
| 1851467948 | James T. Goodrich | General Practice | 1320 Coshocton Rd, Mount Vernon, OH 43050-6400 | 2006-11-28 |
| 1497252415 | Douglas Eugene Hayes | General Practice | 1415 E Kincaid St, Mount Vernon, WA 98274 | 2018-04-06 |
| 1932620739 | Corey Scott Pickett | General Practice | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2017-06-30 |
| 1760929814 | Quantum Medical Diagnostic, PC | General Practice | 81 Sycamore Ave, Mount Vernon, NY 10553-1241 | 2017-01-27 |
| 1992107130 | Multi Med Management Corp | General Practice | 205 Stewart Rd, Suite 104, Mount Vernon, WA 98273-9607 | 2014-09-18 |
| 1124386875 | Ari L Harris | General Practice | 138 S Columbus Ave Fl 1, Mount Vernon, NY 10553-1337 | 2012-05-01 |
| 1740596741 | Mount Vernon Medical Practice | General Practice | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2010-08-27 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on BENSON MEDICAL GROUP PS.
| 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.