BENJAMIN JOHN RICH (NPI# 1881178580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881178580 |
Entity Type | Individual |
Full Name | BENJAMIN JOHN RICH |
Practice Address |
220 W 7200 S Ste A Midvale UT 84047-1043 |
Mailing Address |
2621 S 3270 W West Valley City UT 84119-1119 |
Practice Telephone | 8015665494 |
Practice Fax Number | 8774974661 |
Mailing Telephone | 3852612614 |
Mailing Fax Number | 8017460420 |
Enumeration Date | 2018-09-18 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 7510295-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
7510295-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
7510295-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | UTAH PA LICENSE | 7510295-1206 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043716681 | Benjamin James Rich | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2018-04-03 |
1730451618 | Benjamin L. Rich | Physical Therapist | 3313 Chili Ave, Rochester, NY 14624-5300 | 2012-02-07 |
1922231448 | Benjamin A Rich | Counselor | 8555 Taft St, Merrillville, IN 46410-6123 | 2009-09-01 |
Street Address |
220 W 7200 S STE A |
City | MIDVALE |
State | UT |
Zip Code | 84047-1043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023095866 | Jay Caesar Moreland | Family Medicine | 220 W 7200 S Ste A, 72nd Street Clinic, Chc Inc, Midvale, UT 84047-1043 | 2005-12-22 |
1265976237 | Deisy Ramirez Aguilar | Physician Assistant | 220 W 7200 S Ste A, Midvale, UT 84047-1043 | 2016-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
Find all providers in zip 84047 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619529963 | Emily Mulee | Physician Assistant | 963 E 6795 S, Midvale, UT 84047-5038 | 2019-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649892829 | Van Martin Stonehocker | Physician Assistant | 755 W Center St, Orem, UT 84057-5365 | 2020-05-11 |
1366004517 | Brock Bodily | Physician Assistant | 10623 S Redwood Rd # 101, South Jordan, UT 84095-2481 | 2019-07-08 |
1891230041 | Sarah Danielle Mendenhall | Physician Assistant | 5169 S Cottonwood St Ste 600, Murray, UT 84107-6771 | 2016-12-26 |
1104284124 | Amanda Cummings | Physician Assistant | 30 N 1900 E # 3b110, Salt Lake City, UT 84132-0002 | 2016-02-04 |
1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
1861895344 | Ariel Black | Physician Assistant | 30 N 1900 E # 3c344, Salt Lake City, UT 84132-0002 | 2014-09-29 |
1336493709 | Monica L Hatch | Physician Assistant | 2132 N 1700 W Ste 200, Layton, UT 84041-7060 | 2012-11-06 |
1912130311 | Andrew M Strong | Physician Assistant | 5323 Woodrow St Ste 202, Salt Lake City, UT 84107-5848 | 2009-09-01 |
1164666061 | Stephen A Loper | Physician Assistant | 1055 N 500 W Ste 211, Provo, UT 84604-3305 | 2009-04-23 |
1982869210 | Scott D Taylor | Physician Assistant | 5323 Woodrow St Ste 102, Murray, UT 84107-5853 | 2008-07-25 |
Find all providers with the same taxonomy |
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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.