JEREMY A. BENEDETTI (NPI# 1104938893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104938893 |
| Entity Type | Individual |
| Full Name | JEREMY A. BENEDETTI |
| Credential | M.D. |
| Practice Address |
1300 Jefferson Park Ave Fl 4 Charlottesville VA 22903-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349245078 |
| Practice Fax Number | 4349248118 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0121X |
Registered Nurse Specialization: Plastic Surgery |
0101263196 | VA | Nursing Service Providers |
| N | 208200000X | Plastic Surgery | ME99859 | FL | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | MD24934 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1204 W Main St, Charlottesville, VA 229032824 | 4349826100 | 4349820747 |
| 70 Medical Center Cir Ste 203, Fishersville, VA 229392273 | 5409325571 | 5409325772 |
| Street Address |
1300 JEFFERSON PARK AVE FL 4 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811550064 | Suzanne Queheillalt | Clinical Nurse Specialist | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2019-04-15 |
| 1003312315 | Courtney Bascom | Dietitian, Registered | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2018-04-04 |
| 1700129111 | Amanda C Pysher | Surgery | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 | 2013-04-03 |
| 1932457934 | Heather Passerini | Nurse Practitioner | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 | 2012-08-22 |
| 1790985778 | Swati Rao | Internal Medicine | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 | 2007-07-19 |
| 1760696231 | Christopher A. Campbell | Plastic Surgery | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2007-05-10 |
| 1740359371 | Raymond F. Morgan | Plastic Surgery | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 163WS0121X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Plastic Surgery |
| Definition to come... |
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on JEREMY A. BENEDETTI.
| 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.