Jason Benjamin (NPI# 1912169780, PAC ID# 3274608377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1912169780 |
| PAC ID by PECOS | 3274608377 |
| Professional Enrollment ID | I20080826000040 |
| Full Name | Jason Benjamin |
| Organization Legal Name | VISTA IMAGING ASSOCIATES SC |
| Address |
60 S Greenleaf St Gurnee IL 60031-3300 |
| Phone Number | 8475991142 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6002806734 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 60 S Greenleaf St, Gurnee, IL 60031-3300 | 8475991142 | VISTA IMAGING ASSOCIATES SC |
| 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 | 8473564777 | VISTA IMAGING ASSOCIATES SC |
| 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 8472493900 | VISTA IMAGING ASSOCIATES SC |
| 2615 Washington St, Waukegan, IL 60085-4980 | 8472493900 | VISTA IMAGING ASSOCIATES SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% |
| Organization Legal Name | VISTA IMAGING ASSOCIATES SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Dickstein | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| James Song | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Gerald Holtz | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Craig A Davishoff | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Neil H Puller | Diagnostic Radiology | Vista Imaging Associates Sc | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 |
| Marcy A Mcintosh | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Street Address |
60 S GREENLEAF ST |
| City | GURNEE |
| State | IL |
| Zip | 60031-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Caplan | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rebecca E Jacobson | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Lauren E Rosen | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Esther Y Liu | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Erik B Pauls | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Smitha K. John | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Brenda Y Kim | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rajiv K Udani | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Nancy A Nora | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Therese A Hughes | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Find all physicians in zip 60031 | |||
| City | GURNEE |
| Zip Code | 60031 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GURNEE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason Benjamin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.