BENJAMIN GOGG (NPI# 1225583693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225583693 |
| Entity Type | Individual |
| Full Name | BENJAMIN GOGG |
| Credential | PA-C |
| Practice Address |
3103 Grandeur Dr Salisbury NC 28146-1618 |
| Practice Telephone | 9196106711 |
| Mailing Telephone | 9196106711 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-06613 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3103 GRANDEUR DR |
| City | SALISBURY |
| State | NC |
| Zip Code | 28146-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071551 | Rita Faye George | Technician | 306 Brookfield Circle, Salisbury, NC 28146 | 2019-09-09 |
| 1417166224 | Tina Wyatt | Counselor | 1121 Old Concord Rd Ste 23, Salisbury, NC 28146 | 2007-05-21 |
| 1730230889 | Alan Ray Lyerly | Dentist | 5980 Us Hwy# 52, Salisbury, NC 28146 | 2007-01-16 |
| 1740331800 | Matthew Scott Lyerly | Dentist | 5980 Us Hwy. # 52, Salisbury, NC 28146 | 2007-01-16 |
| 1376624403 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 223 Faith Road, Space I, Salisbury, NC 28146 | 2006-10-17 |
| 1811473028 | Heather Marie Amaral | Nurse Practitioner | 111 S Salisbury Gq Ave, Salisbury, NC 28146 | 2018-07-11 |
| 1417182114 | Norman Deon Hough | Registered Nurse | 6770 Faith Rd, Salisbury, NC 28146-0379 | 2009-05-25 |
| 1770911893 | Travis Alligood | Massage Therapist | 2125 Old Concord Rd, Salisbury, NC 28146-1328 | 2013-10-29 |
| 1013055458 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-02-01 |
| 1669698197 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-04-17 |
| Find all providers in zip 28146 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1114381449 | Courtney Mishler | Physician Assistant | 1821 Sweetbay Dr # 1, Salisbury, MD 21804-1664 | 2016-04-13 |
| 1720214919 | Heesung Sean Kim | Physician Assistant | 106 Pine Bluff Rd Ste 11, Salisbury, MD 21801-7161 | 2009-06-02 |
| 1275791147 | Vincent Walter Lewis | Physician Assistant | 1324 Belmont Ave Ste 103, Salisbury, MD 21804-4543 | 2008-05-28 |
| 1295365377 | Kaitlyn Marie Shelton | Physician Assistant | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-01-17 |
| 1346727351 | Kathryn M Melore | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5422 | 2018-07-23 |
| 1639619224 | Lewis Primary Care, P.a. | Physician Assistant | 1324 Belmont Ave, Unit 103, Salisbury, MD 21804-4584 | 2017-03-01 |
| 1245778182 | Nicole Graham | Physician Assistant | 1401 W Innes St, Salisbury, NC 28144-2574 | 2017-02-10 |
| 1508223108 | Lawrence Tawiah | Physician Assistant | 951 Mount Hermon Rd, Salisbury, MD 21804-5159 | 2016-01-27 |
| 1427420884 | Brian Austin Delgreco | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5493 | 2015-10-26 |
| Find all providers in SALISBURY | ||||
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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.