BENJAMIN GRANT MARSHALL (NPI# 1922369859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922369859 |
| Entity Type | Individual |
| Full Name | BENJAMIN GRANT MARSHALL |
| Credential | M.D. |
| Practice Address |
1785 Garden St Titusville FL 32796-3221 |
| Practice Telephone | 3212699612 |
| Practice Fax Number | 3212698433 |
| Mailing Telephone | 2132699612 |
| Mailing Fax Number | 3212688433 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD208003 | LA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | TRN 17849 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME118384 | 01 |
| FL | PTAN | LS576 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384192 | Benjamin A Marshall | Nurse Practitioner | 24021 Madaca Ln Unit 106, Port Charlotte, FL 33954-2811 | 2020-04-04 |
| 1518309392 | Benjamin Marshall | Speech-Language Pathologist | 16 Sandwedge Dr, Henderson, NV 89074-1713 | 2013-07-22 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1699304634 | Benjamin Eran Marshall | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-04-02 |
| 1861754848 | Benjamin James Marshall | Physical Medicine & Rehabilitation | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2012-06-14 |
| Street Address |
1785 GARDEN ST |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629099718 | Mark Schuman Storey | Internal Medicine | 1785 Garden St, Titusville, FL 32796-3221 | 2006-07-22 |
| 1508300419 | Garden Street Medical Group LLC | Internal Medicine | 1785 Garden St, Titusville, FL 32796-3221 | 2016-12-12 |
| 1083973689 | Miranda Brittany Bales Marshall | Family Medicine | 1785 Garden St, Titusville, FL 32796-3221 | 2012-05-16 |
| 1285796052 | Healthnet of Central Florida Pa | Internal Medicine | 1785 Garden St, Titusville, FL 32796-3221 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173375 | Shaun-pierre A Gregoire | Family Medicine | 1505 Knox Mcrae Drive, Titusville, FL 32780 | 2013-06-11 |
| 1063655041 | Anita D Spitz M D P A | Family Medicine | 500 North Washington Ave., Suite 103, Titusville, FL 32796-2759 | 2009-04-07 |
| 1104928167 | Maria C Torres | Family Medicine | 766 Country Club Dr, Titusville, FL 32780-4900 | 2006-09-01 |
| 1104858869 | Christopher Lee Macdonald | Family Medicine | 401 W Spring St, Titusville, PA 16354-2169 | 2006-07-06 |
| 1003842048 | James T Nichols | Family Medicine | 1315 Garden St, Titusville, FL 32796-3312 | 2006-06-23 |
| 1497718456 | Timothy D Hartwig | Family Medicine | 702 Country Club Dr, Parrish Medical Group, Titusville, FL 32780-4979 | 2006-04-10 |
| 1245299098 | Authrine Chevanne Whyte | Family Medicine | 1849 Jess Parrish Ct, Titusville, FL 32796-2123 | 2006-03-21 |
| 1932173366 | William Robert Sonnenberg | Family Medicine | 119 East Mechanic Street, Titusville, PA 16354 | 2006-02-14 |
| 1275519928 | Deborah Malone | Family Medicine | 4420 S Hopkins Ave, Titusville, FL 32780 | 2005-12-15 |
| 1811988785 | Anthony Kinsella | Family Medicine | 1855 Knox Mcrae Dr, Titusville, FL 32780 | 2005-10-31 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
Please comment or provide details below to improve the information on BENJAMIN GRANT MARSHALL.
| 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.