BENEDICTA G ENRILE (NPI# 1023010907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023010907 |
| Entity Type | Individual |
| Full Name | BENEDICTA G ENRILE |
| Credential | MD |
| Practice Address |
555 S 18th St Columbus OH 43205-2654 |
| Practice Telephone | 6147222438 |
| Practice Fax Number | 6147224966 |
| Mailing Telephone | 6147222438 |
| Mailing Fax Number | 6147224966 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
35034843 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64789043 | 05 | |
| WV | 0105149000 | 05 | |
| OH | 0252524 | 05 |
| Street Address |
555 S 18TH ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620361 | Michael Thomas Brady | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2005-06-22 |
| 1750916540 | Ayse Bulan | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2020-03-11 |
| 1457869919 | Kelly A Brake | Social Worker | 555 S 18th St, Columbus, OH 43205-2654 | 2018-01-18 |
| 1134502024 | Russell Clay Lightfoot | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2654 | 2015-07-09 |
| 1154662930 | Stephanie Bailey Monnin | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2654 | 2013-03-04 |
| 1043588494 | Samiah Al-zaidy | Psychiatry & Neurology | 555 S 18th St, Columbus, OH 43205-2654 | 2011-12-13 |
| 1821384025 | Amanda Lynn Way | Ophthalmology | 555 S 18th St, Suite D, Columbus, OH 43205-2654 | 2011-06-26 |
| 1548569809 | Hillary Jayne Bashaw | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2011-03-24 |
| 1386947190 | Milo D Hilty | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-12-16 |
| 1023339769 | William Matthew Smiley | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058828 | Marina Khrizman | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-03-29 |
| 1376821512 | Mohammed Najjar | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2011-07-21 |
| 1770563462 | Wendelin A Burdo Hartman | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114203262 | Mahesh Chikkannaiah | Pediatrics | 1 Childrens Plz, Neurology Department, Dayton, OH 45404-1873 | 2011-11-02 |
| 1174715593 | Maria Cristina C Victorio | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2007-08-10 |
| 1699863084 | Roberta E Bauer | Pediatrics | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-10-11 |
| 1265478861 | Irene C Dietz | Pediatrics | 2500 Metrohealth Dr, Mhmc-pediatrics, Cleveland, OH 44109-1900 | 2006-06-21 |
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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.