BENJAMIN MICHAEL WEBER (NPI# 1669446001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669446001 |
| Entity Type | Individual |
| Full Name | BENJAMIN MICHAEL WEBER |
| Credential | M.D. |
| Practice Address |
1203 Avenue B Ste 300 Ellisville MS 39437-2080 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6014772226 |
| Practice Fax Number | 6014772236 |
| Mailing Telephone | 6013996167 |
| Mailing Fax Number | 6013996281 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 12552 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0110736 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194925099 | Benjamin J Weber | Dentist | 1075 Farmington Ave, West Hartford, CT 06107-2114 | 2007-07-19 |
| 1134746811 | Benjamin Weber | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-06-29 |
| 1063825867 | Benjamin Ross Weber | Internal Medicine | 351 Delnor Dr Ste 302, Geneva, IL 60134-4233 | 2014-06-09 |
| Street Address |
1203 AVENUE B STE 300 |
| City | ELLISVILLE |
| State | MS |
| Zip Code | 39437-2080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
| 1801226287 | South Central Clinics, Inc | Family Medicine | 1203 Avenue B, Ellisville, MS 39437-2080 | 2013-11-20 |
| 1528498532 | South Central Clinics, Inc. | Obstetrics & Gynecology | 1203 Avenue B, Suite 300, Ellisville, MS 39437-2080 | 2013-11-13 |
| 1942554761 | South Central Regional Medical Center | Obstetrics & Gynecology | 1203 Avenue B, Ellisville, MS 39437-2080 | 2012-10-31 |
| 1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
| 1740226018 | Vicki Hampton | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437-2080 | 2006-06-22 |
| 1811936016 | Michael Casey | Family Medicine | 1203 Avenue B, Ellisville, MS 39437-2080 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
| 1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
| 1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
| 1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
| 1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
| 1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
| 1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
| 1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
| 1316980097 | Donald Scoggin | Nurse Practitioner | 1203 Ave B, Ellisville, MS 39437 | 2006-06-13 |
| 1427098003 | South Central Clinics, Inc. | Clinic/Center | 1203 Ave B, Suite 200, Ellisville, MS 39437 | 2006-06-08 |
| Find all providers in zip 39437 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
| 1407235971 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 1242 Highway 29 N, Ellisville, MS 39437-8763 | 2015-05-29 |
| 1528498532 | South Central Clinics, Inc. | Obstetrics & Gynecology | 1203 Avenue B, Suite 300, Ellisville, MS 39437-2080 | 2013-11-13 |
| 1942554761 | South Central Regional Medical Center | Obstetrics & Gynecology | 1203 Avenue B, Ellisville, MS 39437-2080 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1427512698 | Mildred Iona Clarke | Obstetrics & Gynecology | Coahoma Town Hall (city Hall), 325 Cherry St Circle 38617, Coahoma Miss., MS 38617 | 2019-01-22 |
| 1093211427 | Natchez Women's Center | Obstetrics & Gynecology | 46 Sgt Prentiss Dr Ste 301, Natchez, MS 39120-4753 | 2018-04-04 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1639412026 | Elaine K Kao | Obstetrics & Gynecology | 14231 Seaway Rd Ste 3004, Gulfport, MS 39503-4653 | 2013-04-03 |
| 1538423967 | Miguel A Luna Russo | Obstetrics & Gynecology | 1041s Madison St, Tupelo, MS 38801-6309 | 2012-06-29 |
| 1063771350 | Shimeka Lanette Banks | Obstetrics & Gynecology | 1307-b Airport Road North, Flowood, MS 39232-8897 | 2012-05-08 |
| 1043578784 | Meridian Ob/gyn, Pllc | Obstetrics & Gynecology | 1020 22nd Ave, Meridian, MS 39301-5001 | 2012-05-01 |
| 1609142306 | Eric Todd Siegel | Obstetrics & Gynecology | 128 Highland Pkwy Ste 202, Picayune, MS 39466-5578 | 2012-03-27 |
| 1386914000 | Oney Carstaffen Raines IIi | Obstetrics & Gynecology | 16 54th St, Gulfport, MS 39507-4601 | 2012-01-11 |
| Find all providers with the same taxonomy | ||||
| City | ELLISVILLE |
| Zip Code | 39437 |
Please comment or provide details below to improve the information on BENJAMIN MICHAEL WEBER.
| 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.