BENNY SP KO (NPI# 1912038597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912038597 |
| Entity Type | Individual |
| Full Name | BENNY SP KO |
| Credential | M.D. |
| Practice Address |
3660 Guion Rd Ste 101 Indianapolis IN 46222-1616 |
| Mailing Address |
Po Box 637999 Cincinnati OH 45263-7999 |
| Practice Telephone | 3179207139 |
| Practice Fax Number | 3179207229 |
| Mailing Telephone | 3176822030 |
| Mailing Fax Number | 3176445060 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01024080A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P00960535 | 01 |
| IN | ANTHEM | 000000703094 | 01 |
| IN | 100381260A | 05 |
| Street Address |
3660 GUION RD STE 101 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153095 | Charles J. Walker | Radiology | 3660 Guion Rd, Indianapolis, IN 46222-1697 | 2005-06-10 |
| 1679108070 | Chris Lanning | Health Educator | 3660 Guion Rd, Indianapolis, IN 46222-1697 | 2020-03-05 |
| 1154779502 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 3660 Guion Rd, Suite 310, Indianapolis, IN 46222-1691 | 2016-05-26 |
| 1881078202 | Community Physicians of Indiana Inc | Podiatrist | 3660 Guion Rd, Suite 230b, Indianapolis, IN 46222-1691 | 2015-07-15 |
| 1396178653 | Thomas J Krupski | Physician Assistant | 3660 Guion Rd, Indianapolis, IN 46222-1697 | 2013-08-09 |
| 1770926453 | Todd E. Midla, D.o.,p.c. | Orthopaedic Surgery | 3660 Guion Rd, Suite 230, Indianapolis, IN 46222-1697 | 2013-04-11 |
| 1306054929 | Shiva Golian | Family Medicine | 3660 Guion Rd, Ste 330, Indianapolis, IN 46222-1691 | 2007-05-18 |
| 1619092186 | Westview Internal Medicine | Internal Medicine | 3660 Guion Rd, Suite 310, Indianapolis, IN 46222-1697 | 2007-03-21 |
| 1689705287 | David Craig Williams | Radiology | 3660 Guion Rd, Ste 101, Indianapolis, IN 46222-1616 | 2007-03-08 |
| 1215072350 | Barbara Internal Medicine, PC | Internal Medicine | 3660 Guion Rd, Suite 310, Indianapolis, IN 46222-1697 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| Find all providers in zip 46222 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1922340439 | Ted Alexander Seltman | Radiology | 550 University Blvd Rm 663, Indianapolis, IN 46202-5149 | 2013-03-22 |
| 1386919488 | Paul Joseph Niziolek | Radiology | 714 N Senate Ave Ste 100, Indianapolis, IN 46202 | 2012-03-21 |
| 1770862328 | Oscar Danilo Rosales | Radiology | 1001 W 10st, Wishard Hospital West Building M200, Indianapolis, IN 46202 | 2011-08-15 |
| 1326362120 | Jaimie M. Howell | Radiology | 714 N Senate Blvd., Suite 100, Indianapolis, IN 46202-3297 | 2010-03-23 |
| 1558525535 | Joel A Yalowitz | Radiology | 3907 Guilford Ave, Indianapolis, IN 46205-2827 | 2008-07-18 |
| 1891958757 | George Louis Trilikis | Radiology | 550 N University Blvd Room 0641, Dept of Radiology In University School of Medicine, Indianapolis, IN 46202 | 2008-07-09 |
| 1366604134 | Ian Wong | Radiology | 924 Fayette St, Indianapolis, IN 46202-3019 | 2008-07-01 |
| 1780845941 | Megan Beth Marine | Radiology | 550 University Blvd Rm 641, Indianapolis, IN 46202-5149 | 2008-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46222 |
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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.