MR. JASON ELLIOTT BENJAMIN (NPI# 1255577177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255577177 |
| Entity Type | Individual |
| Full Name | MR. JASON ELLIOTT BENJAMIN |
| Credential | ARNP |
| Practice Address |
740 W Elm St Unit 204 Phoenix AZ 85013-2461 |
| Practice Telephone | 6022002020 |
| Mailing Telephone | 6022002020 |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2014-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912169780 | Jason Benjamin | Radiology | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2008-07-01 |
| Street Address |
740 W ELM ST UNIT 204 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1629603469 | Glenda Dillard | Case Manager/Care Coordinator | 7405 S 39th Dr, Phoenix, AZ 85041-6002 | 2020-03-11 |
| 1215592746 | Debra Ann Beldone | Case Manager/Care Coordinator | 4435 N 21st Pl, Phoenix, AZ 85016-5559 | 2019-05-09 |
| 1720553753 | Cynthia Marie Quinn | Case Manager/Care Coordinator | 301 W Jefferson St Ste 3200, Phoenix, AZ 85003-2143 | 2018-10-05 |
| 1013496199 | Uptown Medical LLC | Case Manager/Care Coordinator | 3724 N 3rd St Ste 300, Phoenix, AZ 85012-2036 | 2018-08-09 |
| 1518451251 | Advanced Behavioral Health Services, LLC | Case Manager/Care Coordinator | 9417 N 17th Pl, Phoenix, AZ 85020-2310 | 2018-06-17 |
| 1255835997 | Miracle On 29th Street | Case Manager/Care Coordinator | 18210 N 29th St, Phoenix, AZ 85032-1103 | 2018-03-19 |
| 1538662077 | Maryvale Medical LLC | Case Manager/Care Coordinator | 7141 W Thomas Rd Ste 101, Phoenix, AZ 85033-5518 | 2018-03-12 |
| 1265930614 | Desert Ridge Medical LLC | Case Manager/Care Coordinator | 26224 N Tatum Blvd Ste 11, Phoenix, AZ 85050-7500 | 2018-01-30 |
| 1477098671 | Joyce Ann Leflore | Case Manager/Care Coordinator | 4424 E Baseline Rd Apt 1144, Phoenix, AZ 85042-7410 | 2016-12-23 |
| Find all providers in PHOENIX | ||||
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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.