BENJAMIN M STAGE (NPI# 1366512428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366512428 |
Entity Type | Individual |
Full Name | BENJAMIN M STAGE |
Credential | M.D. |
Practice Address |
1136 Oliver Rd Monroe LA 71201-5714 |
Practice Telephone | 3183223250 |
Practice Fax Number | 3183223260 |
Mailing Telephone | 3183223250 |
Mailing Fax Number | 3183223260 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2015-06-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 012235 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | TAX ID NO. | 721145487 | 01 |
LA | TAX ID PEGASUS MEDICAL SERVICES, INC. | 72-1396339 | 01 |
LA | TAX ID BAS | 721304084 | 01 |
Street Address |
1136 OLIVER RD |
City | MONROE |
State | LA |
Zip Code | 71201-5714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942486535 | Pegasus Medical Services, Inc. | Clinic/Center | 1136 Oliver Rd, Monroe, LA 71201-5714 | 2008-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
Find all providers in zip 71201 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093950206 | J.r.b.supply Inc. | General Practice | 1285 North Telegraph Rd, #395, Monroe, MI 48162 | 2008-12-03 |
1023260486 | Integrated Health Services Incorporated | General Practice | 2101 Tower Dr, Monroe, LA 71201-5045 | 2008-10-16 |
1629251822 | Steven R Taraszka PC | General Practice | 924 West Spring St, Monroe, GA 30655 | 2007-12-11 |
1063411056 | David L. Barnes | General Practice | 3400 Medical Park Dr, Suite C, Monroe, LA 71203-2388 | 2005-07-20 |
1952928467 | Edwin David | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-30 |
1366067779 | Megan Wolbers | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
1598380909 | Himat Singh Gill | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
1770107450 | Amy Tesolin-gee | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-05-29 |
1790305621 | Matthew Thomas Hutcherson | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-04-21 |
1447770003 | Grant Thomas Gordon | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2017-06-26 |
Find all providers in MONROE |
Please comment or provide details below to improve the information on BENJAMIN M STAGE.
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.