BENTON ROBERT MARINO (NPI# 1023209624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023209624 |
| Entity Type | Individual |
| Full Name | BENTON ROBERT MARINO |
| Credential | M.D. |
| Practice Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 5048423460 |
| Mailing Telephone | 5048423460 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2012-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
MD.205530 | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | BP10026960 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2313444 | 05 | |
| MS | 04484201 | 05 |
| Street Address |
1514 JEFFERSON HWY |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70121-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314419 | Kirt Joseph Talamo | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2005-05-31 |
| 1902406481 | Katelynn Templet | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-26 |
| 1023617552 | Emily Kate Durham Arceneaux | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-26 |
| 1285232629 | Sunni J Primeaux | Psychologist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-16 |
| 1417554965 | Jillian E Pringle | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-07 |
| 1972110278 | Kaitlyn M Reine | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-30 |
| 1811504657 | William L Rasmussen | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-25 |
| 1376157545 | Justin Carreras | Psychologist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-03 |
| 1114531852 | Rachel Rovira | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-01 |
| 1578174686 | Tamara Lafont | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
| 1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
| 1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
| 1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
| 1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
| 1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
| 1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
| 1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
| Find all providers in zip 70121 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801328737 | Meredith Tremblay | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2017-03-30 |
| 1629480173 | David Rayburn | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2014-06-02 |
| 1982044459 | Ayush Gupta | Emergency Medicine | 200 Henry Clay Avenue, Childrens Hospital of New Orleans, New Orleans, LA 70118-5720 | 2013-06-28 |
| 1093031114 | Jaime Rodrigo Morataya Mejia | Emergency Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2010-04-14 |
| 1912138819 | Stephen Mac | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2009-07-27 |
| 1184723066 | Druby Hebert | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-09-21 |
| 1679672364 | Theodore E Kretschmer | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-09-21 |
| 1700985694 | Carmen Begue | Emergency Medicine | 200 Henry Clay Avenue, New Orleans, LA 70118 | 2006-09-21 |
| 1265543805 | Mark Carbon | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-08-31 |
| 1558472191 | Maria Treme | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-08-31 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70121 |
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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.