DR. BENJAMIN PITTMAN (NPI# 1669869764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669869764 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN PITTMAN |
| Credential | M.D. |
| Practice Address |
Uss Tranquility (bhc 1007) Capt James A Lovell Federal Health Care Center North Chicago IL 60064 |
| Mailing Address |
34800 Bob Wilson Dr San Diego CA 92134-3300 |
| Practice Telephone | 8476886755 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 0101261028 | VA | Other Service Providers |
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34800 Bob Wilson Dr, San Diego, CA 921343300 | 6195329795 |
| Street Address |
USS TRANQUILITY (BHC 1007) CAPT JAMES A LOVELL FEDERAL HEALTH CARE CENTER |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| 1982010575 | Ana Marie Callo-ramirez | Registered Nurse | 3001 North Greenbay Rd, North Chicago, IL 60064 | 2014-07-03 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346638566 | Brandon C. Wagenaar | Military Health Care Provider | 1245 S Michigan Ave Ste 215, Chicago, IL 60605-2408 | 2014-12-23 |
| 1235430737 | Megan Elizabeth Schelp | Military Health Care Provider | 5820 N Kenmore Ave, Apartment 404, Chicago, IL 60660-3765 | 2010-11-15 |
| 1932434339 | Tasha Oakley | Military Health Care Provider | 104 Kenwood Ct Apt 1, Normal, IL 61761-4707 | 2009-10-02 |
| 1861512501 | Leigh Karole Grannan | Military Health Care Provider | 625 Wham Dr - Mailcode 6607, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313 | 2007-03-29 |
| 1215033790 | Jerzy Feliks Zadecki | Military Health Care Provider | 930 Mapleton Ave, Oak Park, IL 60302-1404 | 2006-09-15 |
| 1073575692 | Teresita Hernandez Huang | Military Health Care Provider | 3450 Riverside Dr, Wilmette, IL 60091-1062 | 2006-04-06 |
| 1144281882 | Luningning Gayapa Madamba | Military Health Care Provider | 5332 N Kildare Ave, Chicago, IL 60630-1759 | 2006-03-31 |
| 1154380947 | Eden U Padilla | Military Health Care Provider | Uss Red Rover, Recruit Training Center, Great Lakes, IL 60088 | 2006-03-21 |
| 1225439045 | Erin O'connor | Military Health Care Provider | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-09-11 |
| 1376704783 | Richard Neal Craig | Military Health Care Provider | 2401 W Main St, Va Medical Center, Marion, IL 62959-1188 | 2008-06-18 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
Please comment or provide details below to improve the information on DR. BENJAMIN PITTMAN.
| 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.