DR. BENJAMIN DAVID HAVEMANN (NPI# 1154347870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154347870 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN DAVID HAVEMANN |
| Credential | M.D. |
| Practice Address |
4310 James Casey St Ste. 4a Austin TX 78745-1251 |
| Mailing Address |
Po Box 10597 Austin TX 78766-1597 |
| Practice Telephone | 5124484588 |
| Practice Fax Number | 5124454511 |
| Mailing Telephone | 5124484588 |
| Mailing Fax Number | 5124454511 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
L8725 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1832628-02 | 05 | |
| TX | BCBS INDIVIDUAL # | 8DF275 | 01 |
| Street Address |
4310 JAMES CASEY ST STE. 4A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162722 | Jason Boothe | Psychologist | 4310 James Casey St, Bldg 2, Austin, TX 78745-1120 | 2005-05-23 |
| 1255795324 | Ipa Neurosurgery Pllc | Neurological Surgery | 4310 James Casey St, Ste 3c, Austin, TX 78745-1251 | 2016-04-05 |
| 1942628599 | Colleen M. Keenan | Physical Therapist | 4310 James Casey St, Suite 3c, Austin, TX 78745-1251 | 2014-04-01 |
| 1144579699 | Sheila C Reddy | Internal Medicine | 4310 James Casey St, Ste 4-a, Austin, TX 78745-1251 | 2012-08-30 |
| 1518246198 | Kelli Shea Hancock | Physician Assistant | 4310 James Casey St, Suite 4a, Austin, TX 78745-1251 | 2011-08-12 |
| 1922312362 | Richard Gregory Lewis | Physical Therapist | 4310 James Casey St, Suite 3c, Austin, TX 78745-1251 | 2010-07-27 |
| 1346554789 | Valerie I. Hoke | Occupational Therapist | 4310 James Casey St, Suite 3c, Austin, TX 78745-1251 | 2010-07-27 |
| 1124331624 | Emily Nunley Harding | Physician Assistant | 4310 James Casey St, Austin, TX 78745-1251 | 2010-07-26 |
| 1215254024 | Yulia A Lyuboslavsky | Clinical Nurse Specialist | 4310 James Casey St, Austin, TX 78745-1251 | 2010-05-03 |
| 1225268261 | Adam Christopher Hafemeister | Internal Medicine | 4310 James Casey St, Ste 4-a, Austin, TX 78745-1251 | 2009-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023348299 | Praveen Kumar Sampath | Internal Medicine | 12201 Renfert Way Ste 315, Austin, TX 78758 | 2010-01-11 |
| 1104086628 | Harry J Thomas | Internal Medicine | 1111 W 34th St Ste 200, Austin, TX 78705-1916 | 2008-06-10 |
| 1548376312 | Syed M.a. Rizvi | Internal Medicine | 12701 Rr 620 N Ste 101, Austin, TX 78750-1141 | 2006-08-22 |
| 1902822281 | Nadege Tacha Gunn | Internal Medicine | 3001 Bee Caves Rd Ste 220, Austin, TX 78746-5590 | 2006-07-13 |
| 1841276748 | George Edward Kitzmiller | Internal Medicine | 4507 Crestway Dr, Austin, TX 78731-5201 | 2005-12-22 |
| 1932184512 | Angel Eduardo Alcocer | Internal Medicine | 1111 W 34th St, Suite 200, Austin, TX 78705-1900 | 2005-12-07 |
| 1508841180 | Frank B Adams | Internal Medicine | 5700 Standing Rock Dr, Austin, TX 78730-2859 | 2005-12-07 |
| 1548245079 | William Stassen | Internal Medicine | 8015 Shoal Creek Blvd Ste 118, Austin, TX 78757-8052 | 2005-12-07 |
| 1588198808 | Capitol Gastro, Pa | Internal Medicine | 12701 Rr 620 N Ste 101, Austin, TX 78750-1141 | 2017-04-13 |
| 1629498068 | Sanaa Somalya Arastu | Internal Medicine | 1111 W 34th St Ste 200, Austin, TX 78705-1916 | 2014-04-24 |
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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.