DR. MICHAEL JOHN BENOIT (NPI# 1235199795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235199795 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN BENOIT |
| Credential | M.D. |
| Practice Address |
1322 Elton Rd Suite D Jennings LA 70546-4138 |
| Practice Telephone | 3378241111 |
| Practice Fax Number | 3378241122 |
| Mailing Telephone | 3378241111 |
| Mailing Fax Number | 3378241122 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 024980 | LA | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
024980 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1445151 | 05 | |
| TAX ID | 45-0506014 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043506785 | Michael Richard Benoit | Internal Medicine | 5070 International Blvd, Suite 131, North Charleston, SC 29418-6006 | 2011-06-21 |
| 1750699567 | Michael Peter Benoit | Psychologist | 1201 S Main St, Suite 100, North Canton, OH 44720-4283 | 2010-09-15 |
| 1609017771 | Michael E Benoit | Physician Assistant | 3601 Houma Blvd Ste 203, Metairie, LA 70006-4301 | 2009-03-18 |
| 1013055771 | Michael Arthur Benoit | Counselor | 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601-1400 | 2007-02-02 |
| 1972606135 | Michael Jon Benoit | Family Medicine | 2528 Wheaton Way, Suite 105, Bremerton, WA 98310-3305 | 2006-09-06 |
| Street Address |
1322 ELTON RD SUITE D |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929813 | Lam Duy Nguyen | Internal Medicine | 1322 Elton Rd, Suite E, Jennings, LA 70546-4138 | 2005-11-18 |
| 1003356627 | Christian Lewis | Nurse Practitioner | 1322 Elton Rd, Suite P, Jennings, LA 70546-4100 | 2017-03-01 |
| 1588112239 | Lhcg Lxxviii, LLC | Home Health | 1322 Elton Rd, Suite B, Jennings, LA 70546-4100 | 2016-09-12 |
| 1295192557 | Jennings American Legion Hospital Inc. | Clinic/Center | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2016-01-18 |
| 1457751307 | Imperial Health, LLP | Internal Medicine | 1322 Elton Rd, Suite H, Jennings, LA 70546-4100 | 2014-08-28 |
| 1558794065 | Jessie M Broussard | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2013-08-20 |
| 1598019978 | Jill Angelle Breaux | Nurse Practitioner | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2012-11-06 |
| 1538416524 | Mandy Dalton Persick | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2012-08-08 |
| 1760743058 | Laci Huckaby Byrne | Nurse Practitioner | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2012-06-03 |
| 1134491947 | Sarah Kay Deese | Registered Nurse | 1322 Elton Rd, Suite H, Jennings, LA 70546-4100 | 2012-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1962970582 | Total Health Family Medicine | Pediatrics | 9435 Mansfield Rd Ste 5b, Shreveport, LA 71118-3859 | 2018-11-13 |
| 1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
| 1992925614 | John E Daigre Jr. | Pediatrics | 315 N Demanade Blvd, Lafayette, LA 70503-2555 | 2007-04-26 |
| 1811017882 | Barry Stephen Bordenave | Pediatrics | 321 Overhill Dr, Lake Charles, LA 70605-6527 | 2007-03-30 |
| 1174691034 | Linda Ann Doughty White | Pediatrics | 4511 Downman Rd, New Orleans, LA 70126-3716 | 2006-11-30 |
| 1780763946 | Alfredo Oscar Lebron | Pediatrics | 3220 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-11-06 |
| 1316030851 | Stephanie Catherine Arnaud | Pediatrics | 515 Westbank Expressway, Suite 1, Gretna, LA 70053 | 2006-10-02 |
| 1306945399 | Cecily Joan Poree-turner | Pediatrics | 4052 Ulloa St, New Orleans, LA 70119-6834 | 2006-09-22 |
| 1952401705 | Child Health America Physician Group | Pediatrics | 3324 Florida Blvd, Baton Rouge, LA 70806 | 2006-09-22 |
| 1720195290 | Dana Angelle Fakouri | Pediatrics | 8040 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL JOHN BENOIT.
| 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.