BURTON ALLAN BENSON JR. (NPI# 1063486595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063486595 |
| Entity Type | Individual |
| Full Name | BURTON ALLAN BENSON JR. |
| Credential | MD |
| Practice Address |
14001 Ridgedale Dr Ste 100 Minnetonka MN 55305-1781 |
| Practice Telephone | 9524730211 |
| Practice Fax Number | 9524737908 |
| Mailing Telephone | 9524730211 |
| Mailing Fax Number | 9524737908 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29930 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 667080600 | 05 |
| Street Address |
14001 RIDGEDALE DR STE 100 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612433 | Hannah Marie Stende | Registered Nurse | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2020-05-31 |
| 1144718933 | Kirsten Dougherty | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2018-04-26 |
| 1942728936 | Shane Mcwhirter | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2017-08-30 |
| 1528502556 | Teresa Bekkala | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2016-12-09 |
| 1427410778 | Hoa Ly Trinh | Nurse Practitioner | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
| 1770914095 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive Suite 250, Minnetonka, MN 55345 | 2013-12-12 |
| 1043641368 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive Suite, 250, Minnetonka, MN 55345 | 2013-12-12 |
| 1780015008 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive, Suite 250, Minnetonka, MN 55345 | 2013-12-12 |
| 1235439548 | Crystal Singewald | Pediatrics | 17705 Hutchins Dr Ste 100, Minnetonka, MN 55345-4145 | 2010-11-02 |
| 1447480280 | Yana T. Nagle | Pediatrics | 17705 Hutchins Drive, Suite 101, South Lake Pediatrics, Minnetonka, MN 55345 | 2009-07-14 |
| 1417047879 | Daniel P Kohen | Pediatrics | 10505 Wayzata Blvd, Suite #200, Minnetonka, MN 55305-1502 | 2006-10-13 |
| 1528030053 | Kelly Swearingen Lemieux | Pediatrics | 14001 Ridgedale Drive, #100, Minnetonka, MN 55305 | 2006-02-07 |
| 1942728936 | Shane Mcwhirter | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2017-08-30 |
| 1972036531 | Jennifer Renee Signor | Pediatrics | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | 2017-04-10 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.