DR. JOSE BATO BENIGNO JR. (NPI# 1881784643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881784643 |
| Entity Type | Individual |
| Full Name | DR. JOSE BATO BENIGNO JR. |
| Credential | M.D. |
| Practice Address |
115 W 42nd St Odessa TX 79764-4001 |
| Practice Telephone | 4323674817 |
| Practice Fax Number | 4323674813 |
| Mailing Telephone | 4323674817 |
| Mailing Fax Number | 4323674813 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | K9021 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | K9021 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | K9021 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1717217-01 | 05 | |
| TX | 1717217-02 | 05 | |
| TX | 092555-04 | 05 |
| Street Address |
115 W 42ND ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79764-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750666095 | Jose B. Benigno Medical Clinic, P.a. | Family Medicine | 115 W 42nd St, Odessa, TX 79764-4001 | 2011-10-19 |
| 1841380615 | Jose B. Benigno Medical Clinic, P.a. | Clinic/Center | 115 W 42nd St, Odessa, TX 79764-4001 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710466610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3050 W University Blvd, Odessa, TX 79764 | 2018-08-10 |
| 1962897405 | H-e-b, Lp | Clinical Medical Laboratory | 2501 W. University Blvd, Odessa, TX 79764 | 2015-04-01 |
| 1184022758 | Md Moinul Islam | Physician Assistant | 6030 W. University, Odessa, TX 79764 | 2014-12-15 |
| 1962618637 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 10036 West Westland Drive, Odessa, TX 79764 | 2007-05-16 |
| 1992119838 | Gary Chase Jackson | Optometrist | 6030 W University Blvd, Odessa, TX 79764 | 2014-06-18 |
| 1609128594 | Amanda Lynn Paradeaux | Nurse Practitioner | 3001 W University Blvd, Odessa, TX 79764 | 2012-10-03 |
| 1760619498 | Cindy A Smith | Speech-Language Pathologist | 8712 Claymoor Dr, Odessa, TX 79764-1252 | 2009-06-21 |
| 1003316084 | Maranda Pina Garza | Licensed Vocational Nurse | 24 Bookins Ct, Odessa, TX 79764-1401 | 2018-02-16 |
| 1255378717 | United Supermarkets LLC | Durable Medical Equipment & Medical Supplies | 2751 N County Rd W, Odessa, TX 79764-1665 | 2006-06-01 |
| 1578112454 | Shaikat Banerjee | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2019-09-04 |
| Find all providers in zip 79764 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043411531 | Suresh N. Gadasalli,m.d.,p.a. | General Practice | 2651 Kermit Hwy, Odessa, TX 79763-2542 | 2007-05-30 |
| 1609962380 | Richard P Bartlett | General Practice | 1330 E 8th St, Suite 310, Odessa, TX 79761-4702 | 2006-10-04 |
| 1417941873 | Weldon Fred Butler | General Practice | 700 Dotsy Ave, Odessa, TX 79763-4238 | 2005-08-31 |
| 1285154419 | Shehryar Ahmed Malik | General Practice | 1280 W Us Highway 40, Odessa, MO 64076-9612 | 2017-06-20 |
| 1699941765 | Weldon F Butler Md Pa | General Practice | 700 Dotsy Ave, Odessa, TX 79763-4238 | 2008-05-07 |
| 1912028010 | Suresh N. Gadasalli,m.d.,p.a. | General Practice | 1940 E 42nd St, Odessa, TX 79762-5840 | 2007-04-03 |
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| 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.