MR. THOMAS E BENSON (NPI# 1710082086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710082086 |
| Entity Type | Individual |
| Full Name | MR. THOMAS E BENSON |
| Credential | MD |
| Practice Address |
1200 N East St Olney IL 62450-2499 |
| Mailing Address |
1200 N East St Weber Medical Clinic Ltd Olney IL 62450-2499 |
| Practice Telephone | 6183955222 |
| Practice Fax Number | 6183958552 |
| Mailing Telephone | 6183955222 |
| Mailing Fax Number | 6183958552 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 036037097 | IL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 036037097 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036037097 | 05 | |
| IL | HEALTHLINK | 105730 | 01 |
| IL | FEIN | 37-1109732 | 01 |
| IL | HEALTH ALLIANCE | 063074 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174940324 | Thomas Benson | Counselor | 338 Nw 84th St, Seattle, WA 98117-3117 | 2014-03-26 |
| 1356658009 | Thomas Benson | Registered Nurse | 5775 Wayzata Blvd, Suite 700, St Louis Park, MN 55416-1222 | 2010-09-01 |
| 1225256670 | Thomas Michael Benson | Physical Therapist | 622 W 168th St, New York, NY 10032-3720 | 2007-04-23 |
| Street Address |
1200 N EAST ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269384 | Cecilia Howell-canada | Pediatrics | 1200 N East St, Olney, IL 62450-2432 | 2005-07-14 |
| 1578108387 | Kelcey A Semple | Pharmacist | 1200 N East St, Olney, IL 62450-2432 | 2019-11-15 |
| 1427606920 | Destiny R Dannells | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2019-08-28 |
| 1932684313 | Kylie L Garbe | Nurse Practitioner | 1200 N East St, Olney, IL 62450 | 2018-10-01 |
| 1649754474 | Amanda Dillon | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-09-18 |
| 1548741960 | Stephanie Joann Greenwood | Counselor | 1200 N East St, Olney, IL 62450-2432 | 2018-08-23 |
| 1659857886 | Josette Jovero-clodfelter | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-07-11 |
| 1609385269 | Coles County Mental Health Association Inc | Community/Behavioral Health | 1200 N East St, Olney, IL 62450-2432 | 2017-09-27 |
| 1609314194 | Mackenzie Zuber | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2017-02-06 |
| 1306397542 | Trenton Clapp | Physician Assistant | 1200 N East St, Olney, IL 62450-2432 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992972582 | David R. Miller, M.d.p.a. | Pediatrics | 18109 Prince Philip Dr Ste 375, Olney, MD 20832-3508 | 2008-05-13 |
| 1629182688 | Geeta Shah | Pediatrics | 2919-d Olney Sandy Spring Rd, Olney Prof Park, Olney, MD 20832 | 2006-08-18 |
| 1609830850 | Marc E Weber | Pediatrics | 18045 Georgia Ave, Olney, MD 20832-2237 | 2006-04-14 |
| 1851369516 | Geralynn A. Malloy | Pediatrics | 1200 N. East St., Olney, IL 62450-2499 | 2006-03-09 |
| 1568462547 | Marvin Neil Tabb | Pediatrics | 3416 Olandwood Ct, Suite 108, Olney, MD 20832-1372 | 2005-07-29 |
| 1548269384 | Cecilia Howell-canada | Pediatrics | 1200 N East St, Olney, IL 62450-2432 | 2005-07-14 |
| 1477813467 | Stephanie Garrett Soukup | Pediatrics | 18109 Prince Philip Dr, Suite 375, Olney, MD 20832-1519 | 2012-05-23 |
| 1932482312 | Samuel Shimon Khairkar | Pediatrics | 1200 N East St, Olney, IL 62450-2432 | 2011-09-22 |
| 1356661854 | Richard T Tran | Pediatrics | 18111 Prince Philip Dr, Suite 311, Olney, MD 20832-1513 | 2010-06-07 |
| 1386871465 | Shira Lipsky Schwartz | Pediatrics | 18111 Prince Philip Drive, Suite 311, Olney, MD 20832-1508 | 2009-06-16 |
| Find all providers in OLNEY | ||||
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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.