MR. BENJAMIN WILLIAMS DIFFENDERFER (NPI# 1679857239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679857239 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN WILLIAMS DIFFENDERFER |
| Credential | PA-C |
| Practice Address |
510 Upper Chesapeake Dr., Suite 417 Physicians Pavillion II Bel Air MD 21014 |
| Practice Telephone | 4436433130 |
| Practice Fax Number | 4436433155 |
| Mailing Telephone | 4436433130 |
| Mailing Fax Number | 4436433155 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0004567 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
510 UPPER CHESAPEAKE DR., SUITE 417 PHYSICIANS PAVILLION II |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1669931994 | Alexa Renee Diedrich | Physician Assistant | 1030 Rock Spring Rd, Bel Air, MD 21014-2322 | 2019-03-16 |
| 1558728295 | Chelsea N Keeler | Physician Assistant | 227 Gateway Dr Ste J, Bel Air, MD 21014-4287 | 2016-01-26 |
| 1972937472 | Melissa Ann Miller | Physician Assistant | 1505 E. Churchville Road., Bel Air, MD 21015 | 2013-09-03 |
| 1922251412 | Megan Charlotte Donovan | Physician Assistant | 2012 Tollgate Road, Suite 102, Bel Air, MD 21015 | 2008-10-28 |
| 1841285418 | Roy William Rothenberg | Physician Assistant | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2005-09-20 |
| 1578109591 | Kelsey Mcgillivray | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-11-25 |
| 1255982039 | Jacob Mathew | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-09-24 |
| 1588221089 | Margaret Mcclary | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-05-21 |
| 1316416092 | Kristina Bailey | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2018-11-25 |
| Find all providers in BEL AIR | ||||
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| 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.