MAX P BENZAQUEN (NPI# 1366426900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366426900 |
Entity Type | Individual |
Full Name | MAX P BENZAQUEN |
Credential | MD |
Practice Address |
224 South Woods Mill Road Suite 290 South Chesterfield MO 63017-3451 |
Mailing Address |
224 S Woods Mill Rd Ste 290 South Chesterfield MO 63017-3451 |
Practice Telephone | 3148788744 |
Practice Fax Number | 3148782234 |
Mailing Telephone | 3148788744 |
Mailing Fax Number | 3148782234 |
Enumeration Date | 2005-12-06 |
Last Update Date | 2008-03-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
100507 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BC | 10730 | 01 | |
HEALTHLINK | 187999 | 01 |
Street Address |
224 SOUTH WOODS MILL ROAD SUITE 290 SOUTH |
City | CHESTERFIELD |
State | MO |
Zip Code | 63017-3451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043431885 | Laura Irene Moore | Obstetrics & Gynecology | 224 South Woods Mill Road, Suite 750, Chesterfield, MO 63017-3623 | 2007-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
Find all providers in zip 63017 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
1659689495 | Nazish Riaz | Psychiatry & Neurology | 111 Saint Lukes Center Dr Bldg B, Chesterfield, MO 63017-3509 | 2010-09-14 |
1699001040 | David M. Peeples Md, LLC | Psychiatry & Neurology | 14825 North Outer 40, Suite 330a, Chesterfield, MO 63017 | 2009-10-20 |
1144419144 | Tariq Jawaid Alam | Psychiatry & Neurology | 1846 Winter Run Ct, Chesterfield, MO 63017-5674 | 2007-10-16 |
1114016391 | Todd Brook Silverman | Psychiatry & Neurology | 14825 North Outer 40 Rd Ste 330-b, Chesterfield, MO 63017-2119 | 2006-10-12 |
1487013512 | Ayman Daoud | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2016-02-17 |
1851554554 | Max Benzaquen Md PC | Psychiatry & Neurology | 224 S Woods Mill Rd, Suite 290 South, Chesterfield, MO 63017-3451 | 2008-07-03 |
1073772604 | Frasat Chaudhry | Psychiatry & Neurology | 232 S Woods Mill Rd, 400 East, Chesterfield, MO 63017-3417 | 2008-06-09 |
1295857936 | Susan Maxine Lippmann | Psychiatry & Neurology | 222 S Woods Mill Rd, Ste. 610n, Chesterfield, MO 63017-3625 | 2007-04-04 |
Find all providers in CHESTERFIELD |
City | CHESTERFIELD |
Zip Code | 63017 |
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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.