DR. DOUGLAS J BENTON (NPI# 1730281619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730281619 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS J BENTON |
| Credential | DO |
| Practice Address |
6092 Fenton Rd Flint MI 48507-4761 |
| Mailing Address |
G-6092 Fenton Rd Flint MI 48507 |
| Practice Telephone | 8102394697 |
| Practice Fax Number | 8102394553 |
| Mailing Telephone | 8102394697 |
| Mailing Fax Number | 8102394553 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101008533 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3235403 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013244672 | Douglas Benton | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2009-11-03 |
| Street Address |
6092 FENTON RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851714901 | Wendy Leigh Titsworth | Nurse Practitioner | 6092 Fenton Rd, Flint, MI 48507-4761 | 2014-01-27 |
| 1326140203 | Regis A Benton Jr. | Family Medicine | 6092 Fenton Rd, Flint, MI 48507-4761 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580834 | Anas Siddiqui | Family Medicine | G1080 N Ballenger Hwy Ste 1, Flint, MI 48504-4427 | 2017-07-10 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1609138486 | Timothy L Holcomb | Family Medicine | 20208 St Hwy 155 S, Flint, TX 75762-5600 | 2012-06-08 |
| 1821366808 | John Joseph Doyle IIi | Family Medicine | 1001 Woodlawn Park Dr, Flint, MI 48503-2762 | 2011-12-06 |
| 1275858862 | Michigan Healthcare Center | Family Medicine | G-3267 Beecher Road, Flint, MI 48532-3615 | 2010-04-07 |
| 1730412677 | Marcy A Klein | Family Medicine | 1314 S. Linden Rd., Flint, MI 48532-3456 | 2009-09-10 |
| 1144484221 | Edward Gomez-seoane Md & Silvia Gomez-seoane Md PC | Family Medicine | 5060 Villa Linde Pkwy, Flint, MI 48532-3411 | 2008-07-17 |
| 1154512630 | John L Stoker D.o. P.C. | Family Medicine | G 5142 Mill Er Rd, Flint, MI 48507 | 2007-08-08 |
| 1619181716 | James Brown Md Plc | Family Medicine | 1104 S Linden Rd, Ste 2, Flint, MI 48532-3452 | 2007-05-09 |
| 1811073489 | Edward J Conley Do PC | Family Medicine | G3494 Beecher Rd, Flint, MI 48532 | 2006-10-27 |
| Find all providers in FLINT | ||||
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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.