BENTON FAMILY MEDICINE, LLC (NPI# 1811129745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811129745 |
| Entity Type | Organization |
| Organization Name | BENTON FAMILY MEDICINE, LLC |
| Practice Address |
188 Burt Blvd Benton LA 71006-4900 |
| Practice Telephone | 3189651000 |
| Mailing Telephone | 3189651000 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Authorized Official Name | MS. KELLEY NOVAK (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 3189651000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04759 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | MD09509R | LA | Allopathic & Osteopathic Physicians |
| Street Address |
188 BURT BLVD |
| City | BENTON |
| State | LA |
| Zip Code | 71006-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154359867 | Janet L Morehouse Md and Willis-knighton Medical Center | Family Medicine | 188 Burt Blvd, Suite A, Benton, LA 71006-4900 | 2006-06-29 |
| 1932585841 | Benton Medical | Clinic/Center | 188 Burt Blvd, Benton, LA 71006-4900 | 2015-08-03 |
| 1679905756 | Benton Medical Clinic, LLC | Family Medicine | 188 Burt Blvd, Benton, LA 71006-4900 | 2013-07-31 |
| 1881931152 | Slainte Family Clinic LLC | Nurse Practitioner | 188 Burt Blvd, Benton, LA 71006-4900 | 2013-01-07 |
| 1013264878 | Paula Weaver Gates | Nurse Practitioner | 188 Burt Blvd, Benton, LA 71006-4900 | 2012-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450517 | Just Health | Clinic/Center | 7076 La-3, Benton, LA 71006 | 2020-06-02 |
| 1982819678 | Robert Carroll Denmon | Pharmacist | 5604 Hwy 3, Freds Pharmacy # 1534, Benton, LA 71006 | 2007-05-14 |
| 1326174202 | David W Loftin | Pharmacist | 5604 Benton Rd, Benton, LA 71006 | 2007-02-26 |
| 1720163587 | Wayne Holden Marionneaux | Dentist | 192 Burt Blvd, Bentone, LA 71006 | 2006-10-27 |
| 1558478925 | Freds Stores of Tennessee Inc | Pharmacy | 5604 Hwy 3, Benton, LA 71006 | 2006-08-23 |
| 1861404683 | Rolling Rehab LLC | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2006-08-12 |
| 1932327608 | Shanna D. Johnson | Physical Therapist | 115 Hunt Rd, Benton, LA 71006-3469 | 2007-04-20 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1942373410 | Brookshire Grocery Company | Pharmacy | 6280 Highway 3, Attention Pharmacy Dept, Benton, LA 71006-3492 | 2006-11-15 |
| 1669854253 | Dao B Kha | Pharmacist | 6280 Highway 3, Benton, LA 71006-3492 | 2015-06-19 |
| Find all providers in zip 71006 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750927109 | Inpatient Solutions | Internal Medicine | 107 Turtle Creek Rd, Benton, AR 72015-6466 | 2019-11-20 |
| 1902143910 | National Healthcare of Mt Vernon Inc | Internal Medicine | 905 W Washington St, Suite A, Benton, IL 62812-1649 | 2013-01-10 |
| 1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
| 1306810171 | Deborah Sharon Quade | Internal Medicine | 2519 Military Rd, Suite B, Benton, AR 72015-2498 | 2006-02-16 |
| 1568434843 | Kenneth B King | Internal Medicine | 500 George Mcclain Drive, Benton, KY 42025 | 2006-02-02 |
| 1619947264 | Saeed Ahmad Khan | Internal Medicine | 205 Bailey Lane, Benton, IL 62812-1921 | 2006-01-25 |
| 1720082530 | David M Persson | Internal Medicine | 5 Medical Park Dr Ste 203, Benton, AR 72015-3732 | 2005-06-09 |
| 1043563398 | Adam Huang | Internal Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2012-10-24 |
| 1033405824 | Ahmad Javed Yousaf | Internal Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2011-06-21 |
| 1598057549 | Christina Michelle Brown | Internal Medicine | 617 Old Symsonia Rd, Benton, KY 42025-5042 | 2011-05-10 |
| Find all providers in BENTON | ||||
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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.