SEAN THOMAS BENHAM (NPI# 1972598704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972598704 |
| Entity Type | Individual |
| Full Name | SEAN THOMAS BENHAM |
| Credential | MD |
| Practice Address |
1765 N 18th St Manitowoc WI 54221-0997 |
| Mailing Address |
Po Box 997 Manitowoc WI 54221-0997 |
| Practice Telephone | 9204820575 |
| Practice Fax Number | 9204820579 |
| Mailing Telephone | 9204820575 |
| Mailing Fax Number | 9204820579 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 33608020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31847300 | 05 | |
| BLUE CROSS BLUE SHIELD | 043684279011 | 01 |
| Street Address |
1765 N 18TH ST |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54221-0997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427235712 | Bellin Memorial Hospital Inc. Dba Fmc Manitowoc | Clinic/Center | 1765 N 18th St, Manitowoc, WI 54220-1868 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114034493 | John R Schmidt | Social Worker | 1425 Memorial Dr, Manitowoc, WI 54221-0400 | 2006-08-24 |
| 1023027711 | Karen A Berge | Social Worker | 1425 Memorial Dr, Manitowoc, WI 54221-0400 | 2006-08-05 |
| 1760648885 | Orthopaedic Associates of Manitowoc Ltd | Specialist | 920 State Street, Manitowoc, WI 54221-0907 | 2008-07-29 |
| 1093886434 | Sean T Benham Mdsc | Surgery | 1765 North 18 Street, Manitowoc, WI 54221-0997 | 2006-11-09 |
| 1376780114 | Jennifer Ann Haase | Social Worker | 926 S. 8th Street, Manitowoc, WI 54221-1177 | 2009-01-15 |
| 1265606123 | Lisa Rae Korslin | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2008-04-22 |
| 1194874511 | Thomas John Zakrzewski | Social Worker | Manitowoc County Human Services Department, 926 S 8th Street, Manitowoc, WI 54221-1177 | 2007-01-09 |
| 1811474604 | Lindsay Connon | Counselor | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2018-07-24 |
| 1952836702 | Amanda M Miller | Counselor | 926 S 8th Street, Manitowoc, WI 54221-1177 | 2017-04-28 |
| 1396283461 | Crystal Ann Franzen | Registered Nurse | 926 South 8th Street, Manitowoc, WI 54221-1177 | 2017-02-08 |
| Find all providers in zip 54221 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093886434 | Sean T Benham Mdsc | Surgery | 1765 North 18 Street, Manitowoc, WI 54221-0997 | 2006-11-09 |
| 1821011800 | Terry Gueldner | Surgery | 940 Maritime Dr, Suite 4, Manitowoc, WI 54220-2960 | 2006-07-25 |
| 1477873743 | Matthew Mcfarlane | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2010-06-09 |
| 1821030859 | Matthew Campbell | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
| 1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
| 1700263720 | Marianna Dubovska | Surgery | 902 Riverside Dr Ste 201, Waupaca, WI 54981-1992 | 2015-04-28 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1972901262 | The Healthy Vein, Sc | Surgery | N79w14684 Appleton Ave, Menomonee Falls, WI 53051-4308 | 2014-12-18 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
| 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.