DR. JACOB ALLEN BENRUD (NPI# 1811317829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811317829 |
| Entity Type | Individual |
| Full Name | DR. JACOB ALLEN BENRUD |
| Credential | M.D. |
| Practice Address |
535 Hospital Rd New Richmond WI 54017-1449 |
| Mailing Address |
500 University Drive Hershey PA 17033-0858 |
| Practice Telephone | 7152432600 |
| Mailing Telephone | 8002431455 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD464884 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr, Hershey, PA 170332360 | 7175315522 | 7175310826 |
| Street Address |
535 HOSPITAL RD |
| City | NEW RICHMOND |
| State | WI |
| Zip Code | 54017-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055488 | Nabil P. Salama | Emergency Medicine | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2005-12-22 |
| 1063049419 | Kindra Rae Witthus | Occupational Therapist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2020-03-25 |
| 1457818759 | Kimberly Graham | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2019-02-23 |
| 1548748155 | Acacia Wimmer | Physician Assistant | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2018-08-06 |
| 1669971768 | Nicole Trosen | Pharmacist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2018-02-05 |
| 1194238287 | Tuomas Aleksi Moran | Physical Therapist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-11-10 |
| 1730691502 | Elizabeth A Steiner | Physical Therapist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-11-01 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| 1255860169 | Mark David Bostrom | Family Medicine | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-06-06 |
| 1710416706 | Benjamin Ward Dummer | Family Medicine | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
| 1215239736 | Family Therapy Associates, LLC | Clinic/Center | 150 W. First St., Suite 270, New Richmond, WI 54017 | 2010-12-04 |
| 1255452215 | Joseph Scott Gustafson Sr. | Acupuncturist | 1475 Hwy 65, Pain Management Acupuncture of St Croix, New Richmond, WI 54017 | 2007-04-03 |
| 1467582957 | New Richmond Dental | Dentist | 1367 Campus Dr, New Richmond, WI 54017 | 2007-03-06 |
| 1588709513 | Holly Wolf | Occupational Therapist | 908 Brady Lane, New Richmond, WI 54017 | 2007-02-20 |
| 1396891867 | Jamie Marie Neumann | Physical Therapy Assistant | 535 Hospital Rd., New Richmond, WI 54017 | 2007-01-26 |
| 1467519660 | New Richmond Chiropractic Clinic Inc | Chiropractor | 446 S Knowles Ave, New Richmond, WI 54017 | 2007-01-03 |
| 1750457156 | Susan Ann Johnson | Chiropractor | 446 S. Knowles Ave, New Richmond, WI 54017 | 2006-11-28 |
| Find all providers in zip 54017 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309101 | Wisconsin Interventional Pain Solutions Sc | Anesthesiology | 2500 N Mayfair Rd Ste 325, Wauwatosa, WI 53226-1443 | 2017-07-18 |
| 1528402781 | Aspen Wellness and Pain Medicine Center | Anesthesiology | W176n9830 Rivercrest Dr Ste 102, Germantown, WI 53022-4692 | 2013-04-18 |
| 1720307283 | Andres Fernando Quitzon Jr. | Anesthesiology | 2245 W Brantwood Ave, Milwaukee, WI 53209 | 2010-05-24 |
| 1861688418 | Horizon Interventional Pain Physicians, Sc | Anesthesiology | 7071 S 13th St, Suite # 102, Oak Creek, WI 53154-1466 | 2007-09-18 |
| 1992800791 | Interventional Pain Specialists of Wisconsin, Sc | Anesthesiology | 2021 Cenex Dr, Suite J, Rice Lake, WI 54868-1891 | 2006-09-14 |
| 1275500910 | Saleem Awan | Anesthesiology | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2006-03-01 |
| 1871560581 | Yogendra Bharat | Anesthesiology | 2500 W Layton Ave Ste 170, Milwaukee, WI 53221-5433 | 2006-03-01 |
| 1871569830 | Roman Berezovski | Anesthesiology | 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 | 2006-02-28 |
| 1598762841 | Nathan C Meloy | Anesthesiology | 2700 W 9th Ave, Suite 205, Oshkosh, WI 54904-7247 | 2005-07-01 |
| 1922457803 | Holly Haberman | Anesthesiology | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW RICHMOND |
| Zip Code | 54017 |
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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.