DR. JAMES ROALD BENNION (NPI# 1396739637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396739637 |
| Entity Type | Individual |
| Full Name | DR. JAMES ROALD BENNION |
| Credential | MD |
| Practice Address |
79 Mdg Chief, Medical Staff 1050 West Perimeter Rd Andrews Afb MD 20762-6601 |
| Practice Telephone | 2408578811 |
| Mailing Telephone | 2408578811 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
M-6004 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
79 MDG CHIEF, MEDICAL STAFF 1050 WEST PERIMETER RD |
| City | ANDREWS AFB |
| State | MD |
| Zip Code | 20762-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1306467667 | Priscilla Andalia | Student in an Organized Health Care Education/Training Program | 1065 W. Perimeter Road, Jb Andrews, MD 20762 | 2020-04-28 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1083240139 | Shirley Ye | Student in an Organized Health Care Education/Training Program | 1025 Boston Rd, Joint Base Andrews, MD 20762 | 2020-03-20 |
| 1255988853 | Songxuan Zhou Niemtzow | Acupuncturist | Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 | 2019-08-20 |
| 1487010971 | Tracy Ellen Ambos | Social Worker | 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 | 2016-01-13 |
| 1154718450 | Ryan Mason Kring | Emergency Medicine | Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 | 2015-04-24 |
| 1518206044 | Jeremy Gallman | Veterinarian | 1781 Arnold Ave., Joint Base Andrews, MD 20762 | 2013-02-04 |
| 1043556418 | Kimberly Mccoy-singh | Physical Therapist | 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 | 2012-12-12 |
| 1417215799 | Alexander Rostam Kheradi | Emergency Medicine | 1050 West Perimeter Road, Joint Base Andrews, MD 20762 | 2012-04-24 |
| Find all providers in zip 20762 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114321767 | Charm City Primary Care, PC | Preventive Medicine | 2220 Reisterstown Rd, Baltimore, MD 21217-1928 | 2014-10-10 |
| 1184048704 | George Gebus | Preventive Medicine | 7158 Oberlin Cir, Frederick, MD 21703-9484 | 2014-02-18 |
| 1427398544 | Anselmo G Mamaril | Preventive Medicine | 12505 Canter Ln, Ellicott City, MD 21042-1201 | 2013-02-26 |
| 1871840249 | Stephanie Sayre Smith | Preventive Medicine | 10202 Colesville Rd, Silver Spring, MD 20901-2428 | 2012-08-05 |
| 1003195157 | Irving Isar Kessler | Preventive Medicine | 3404 Bancroft Road, Baltimore, MD 21215 | 2011-08-08 |
| 1306157854 | Terrence Alan Bidnick | Preventive Medicine | Code 250 9, Goddard Space Flight Center, Greenbelt, MD 20771-0001 | 2010-06-30 |
| 1548418726 | Devesh Dhruva Kanjarpane | Preventive Medicine | 6041 Winter Grain Path, Clarksville, MD 21029-1224 | 2008-08-30 |
| 1730335258 | Janet Nmi Fujikawa | Preventive Medicine | 8812 Mourning Dove Ct, Gaithersburg, MD 20879-1775 | 2008-08-15 |
| 1790958270 | James Michael Schmitt | Preventive Medicine | 12119 Whippoorwill Ln, Rockville, MD 20852-4445 | 2008-04-07 |
| 1396880803 | Ross S. Myerson | Preventive Medicine | 10507 Greenacres Dr, Silver Spring, MD 20903-1212 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
| City | ANDREWS AFB |
| Zip Code | 20762 |
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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.