MR. ANDERSON L BENSON JR. (NPI# 1710062724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710062724 |
| Entity Type | Individual |
| Full Name | MR. ANDERSON L BENSON JR. |
| Credential | PA-C |
| Practice Address |
4300 W 7th St Little Rock AR 72205-5446 |
| Mailing Address |
13111 W Markham St Apt 68 Little Rock AR 72211-3263 |
| Practice Telephone | 5012576806 |
| Mailing Telephone | 5012576806 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4300 W 7TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475743 | Cecil Michael Dupriest | Chiropractor | 4300 W 7th St, Little Rock, AR 72205-5446 | 2005-08-25 |
| 1992305510 | Rhonda S Davidson | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-11-01 |
| 1508473026 | Anne Cetto | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-09-29 |
| 1497361182 | Jason Dale Ryburn | Licensed Practical Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-09-18 |
| 1821604521 | Neil K Shah | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-09-17 |
| 1053922294 | Tacara Nichole Anderson | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-08-12 |
| 1720697873 | Anu Nicole Asonganyi | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-07-24 |
| 1558987578 | Rachel Briggler | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-06-25 |
| 1093330086 | Sarah Elizabeth Talley | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-06-15 |
| 1740805167 | Autumn Elizabeth Stice | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881158517 | Jordan Lane Milam | Physician Assistant | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2019-01-28 |
| 1790252286 | Allison Henry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-11-01 |
| 1649755133 | Hillary Michelle Mayberry | Physician Assistant | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-10-01 |
| 1215472436 | Faye Mariz Laurio Razon | Physician Assistant | 4301 W Markham St, #713, Little Rock, AR 72205-7101 | 2016-12-23 |
| 1396115192 | Kumar Mahendra Patel | Physician Assistant | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2015-10-06 |
| 1437235207 | Zachary S. Webb | Physician Assistant | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1720164593 | Roger L. Sprague | Physician Assistant | 2 Shackleford West Blvd, Little Rock, AR 72211-3755 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650817 | Dickson Orthopedics, Pa | Physician Assistant | 1416 E Matthews, Suite 200, Jonesboro, AR 72401-4632 | 2017-03-14 |
| 1912455387 | Anthony D Long Jr. | Physician Assistant | 17 Mockingbird Ln, Pine Bluff, AR 71603-6107 | 2016-09-14 |
| 1215233887 | Joshua Anthony Trinkle | Physician Assistant | 224 W. Erie Ave, Harrison, AR 72601 | 2011-01-31 |
| 1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
| 1487252755 | David M Street | Physician Assistant | 2010 Active Way, Benton, AR 72022-9267 | 2020-10-09 |
| 1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
| 1013417518 | Corey Carver | Physician Assistant | 1000 S 52nd St, Rogers, AR 72758-8610 | 2018-02-20 |
| 1316485857 | Farrah Jennings | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2017-02-04 |
| 1851764856 | Jonathon Michael Mccrary | Physician Assistant | 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 2015-11-12 |
| 1659790210 | Karla Heard | Physician Assistant | 2717 S 74th St, Fort Smith, AR 72903-5100 | 2014-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.