MR. SCOTT BENSON STREET (NPI# 1912183674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912183674 |
| Entity Type | Individual |
| Full Name | MR. SCOTT BENSON STREET |
| Credential | MS, ATC |
| Practice Address |
59 College Ave Msc 71 Buckhannon WV 26201-2600 |
| Mailing Address |
17 Crystal Dr Buckhannon WV 26201-8859 |
| Practice Telephone | 3044738011 |
| Practice Fax Number | 3044738349 |
| Mailing Telephone | 7407013669 |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2018-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001129 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT004078 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407384639 | Scott Douglas Street | Dentist | 5510 E 41st St Ste C, Tulsa, OK 74135-6009 | 2017-06-01 |
| 1568027977 | Scott Street | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-05-01 |
| 1700014271 | Scott Street | Family Medicine | 1010 N. Kansas, Wcgme, Wichita, KS 67214 | 2009-06-23 |
| Street Address |
59 COLLEGE AVE MSC 71 |
| City | BUCKHANNON |
| State | WV |
| Zip Code | 26201-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558481515 | Rae Lee Emrick | Specialist/Technologist | 59 College Ave, West Virginia Wesleyan College, Buckhannon, WV 26201-2600 | 2007-03-30 |
| 1871144071 | Jacob Lee Hanshaw | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-09-28 |
| 1679123848 | Toni Michelle Bolar | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-09-18 |
| 1134779390 | Robert Daniel Martin | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-09-18 |
| 1255994018 | Shelbi Holloman | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2019-04-17 |
| 1487145769 | Community Care of West Virginia, Inc. | Clinic/Center | 59 College Ave, Buckhannon, WV 26201-2600 | 2018-05-23 |
| 1710371844 | Brooke Davis | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-03-26 |
| 1295128577 | Jun Matsuno | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-03-11 |
| 1982096137 | Ira Edward Fowler IIi | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-02-25 |
| 1780076117 | Chris Cole | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570334 | Susan Boyce | Homemaker | 62692 Tallmasville Road, Buckhannon, WV 26201 | 2020-05-27 |
| 1316590177 | Jk Marketing, LLC | Clinic/Center | 4 Hartman Plaza, Buckhannon, WV 26201 | 2019-07-22 |
| 1841759412 | Deborah Lynn Wilson | Massage Therapist | 47 East Main St., Suite 202, Buckhann, WV 26201 | 2019-03-13 |
| 1275041766 | Town of Anmoore Vol Fire Dept | Ambulance | 100 S Ash Street, Anmoore, WV 26201 | 2018-01-18 |
| 1265824411 | Erik Brown | Specialist/Technologist | 36 College Avenue, Buckhannon, WV 26201 | 2015-02-25 |
| 1053735118 | Jonas Layne Phares | Chiropractor | Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 | 2014-02-10 |
| 1750621132 | Drew Foster Mason | Specialist/Technologist | 54 College Avenue, Box 1746, Buckhannon, WV 26201 | 2013-02-22 |
| 1295070241 | Cynthia Jean Hurst | Physician Assistant | 50 Bu Drive, Buckhannon, WV 26201 | 2012-12-03 |
| 1679876197 | Holly Evans | Pharmacist | Route 20 South, Buckhannon, WV 26201 | 2010-12-07 |
| 1407069990 | Upshur-buckhannon Health Department | Public Health or Welfare | 15 North Locust Street, Buckhannon, WV 26201 | 2007-05-08 |
| Find all providers in zip 26201 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457591 | Maggie Tomlinson | Specialist/Technologist | 59 College Ave # Msc1667, Buckhannon, WV 26201-2600 | 2019-09-25 |
| 1104390004 | Trey Short | Specialist/Technologist | 417 Red Rock Rd, Buckhannon, WV 26201-6024 | 2019-01-14 |
| 1699217521 | Emily Boggs | Specialist/Technologist | 120 Buckhannon Crossroads, #112, Buckhannon, WV 26201-8476 | 2016-11-09 |
| 1265824411 | Erik Brown | Specialist/Technologist | 36 College Avenue, Buckhannon, WV 26201 | 2015-02-25 |
| 1417349846 | John Ponton Jr. | Specialist/Technologist | 270 Bu Dr, Buckhannon, WV 26201-9689 | 2015-02-23 |
| 1750621132 | Drew Foster Mason | Specialist/Technologist | 54 College Avenue, Box 1746, Buckhannon, WV 26201 | 2013-02-22 |
| 1043429061 | Tammie Jo Hammon | Specialist/Technologist | 59 College Ave # 1795, Buckhannon, WV 26201-2600 | 2007-05-22 |
| 1558481515 | Rae Lee Emrick | Specialist/Technologist | 59 College Ave, West Virginia Wesleyan College, Buckhannon, WV 26201-2600 | 2007-03-30 |
| 1679601199 | Michael D Moore | Specialist/Technologist | 50 B U Dr, Buckhannon, WV 26201-9411 | 2007-02-28 |
| 1457402604 | John Zubal | Specialist/Technologist | 59 College Ave West Virginia Wesleyan Athletic Training, Buckhannon, WV 26201 | 2007-01-15 |
| Find all providers in BUCKHANNON | ||||
| City | BUCKHANNON |
| Zip Code | 26201 |
Please comment or provide details below to improve the information on MR. SCOTT BENSON STREET.
| 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.