DR. LEO ANDREW OSIFUYE BENEDICT (NPI# 1457504722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457504722 |
Entity Type | Individual |
Full Name | DR. LEO ANDREW OSIFUYE BENEDICT |
Credential | M.D. |
Practice Address |
4320 Wornall Rd Ste 530 Kansas City MO 64111 |
Mailing Address |
901 E 104th St Mailstop 400 Kansas City MO 64131-4517 |
Practice Telephone | 8169322836 |
Practice Fax Number | 8169329868 |
Mailing Telephone | 8165999499 |
Mailing Fax Number | 8169329670 |
Enumeration Date | 2008-10-29 |
Last Update Date | 2018-07-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
2017021716 | MO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
800 Washington St, Boston, MA 021111552 | 6176366093 |
Street Address |
4320 WORNALL RD STE 530 |
City | KANSAS CITY |
State | MO |
Zip Code | 64111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326074006 | Sean Allen Nix | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2006-06-24 |
1386276434 | Abigayle Rose Mcgrew | Physician Assistant | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2020-02-06 |
1417315839 | Marci Cunningham | Physician Assistant | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2016-01-30 |
1104203058 | Stephanie Elaine Bollenbach | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2015-04-29 |
1811384373 | Paul Bennett Brock Jr. | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2015-04-22 |
1700204559 | Barbara Nguyen | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2014-03-30 |
1417247800 | Robert Amajoyi | Colon & Rectal Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2011-04-19 |
1568773372 | Thuan Nguyen | Plastic Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2010-06-25 |
1306072459 | Julie Lynn Porter | Nurse Practitioner | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2009-06-03 |
1215019518 | Theresa Elizabeth Robertson | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2006-10-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
Find all providers in zip 64111 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205907359 | Dennis M Arce Md | Surgery | 6420 Prospect Ave Ste 311, Kansas City, MO 64132-4130 | 2006-11-12 |
1811087547 | Hillary Aa Chollet Md PC | Surgery | 6400 Prospect Ave Ste 338, Kansas City, MO 64132-1100 | 2006-10-13 |
1063468361 | Midwest Trauma Services, LLC | Surgery | 2330 East Meyer Blvd, T-207, Kansas City, MO 64132-4147 | 2006-05-26 |
1285684167 | Pascal Nyachowe | Surgery | 4320 Wornall Rd Ste 5320, Kansas City, MO 64111-5941 | 2006-05-11 |
1760934889 | Glenarm Acute Surgical Specialists LLC | Surgery | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2016-10-25 |
1922236314 | Jeffrey Ray Simpson | Surgery | 2330 E Meyer Blvd, Ste 207, Kansas City, MO 64132-1132 | 2009-06-24 |
1184671745 | Rmc Hbp, LLC | Surgery | 2316 E Meyer Blvd, Trauma Department, Kansas City, MO 64132-1136 | 2006-05-28 |
1720072564 | John M Webb | Surgery | 6400 Prospect Ave, Suite 208, Kansas City, MO 64132-1100 | 2005-09-08 |
1295734481 | Patrick Eugene Mcgregor | Surgery | 9411 N Oak Trfy, Suite Ll1, Kansas City, MO 64155-2233 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861810111 | Abbie May Jensen | Surgery | 615 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8221 | 2014-04-03 |
1457521478 | Manuel Almendral Castasus | Surgery | 884 Woodsmill Road, Ttg Locum Tenens, Ballwin, MO 63011 | 2008-03-05 |
1194019968 | Kevin Clay Christian | Surgery | 3800 S National Ave, 4th Floor, Springfield, MO 65807-5209 | 2011-06-08 |
1316262793 | Jennifer Marie Laplante | Surgery | 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301-2882 | 2010-03-29 |
1356561609 | St Louis University | Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-27 |
1669529657 | Stanley A. Sakabu | Surgery | 621 S New Ballas Rd, Suite 560-a, Saint Louis, MO 63141-8232 | 2007-01-04 |
1275637498 | Aaron Scifres | Surgery | 3635 Vista, 3rd Floor, Saint Louis, MO 63110 | 2006-09-08 |
1689673675 | Gregory A Eason | Surgery | 2750 Clay Edwards Dr, Suite 312, North Kansas City, MO 64116-3237 | 2005-07-20 |
1063411031 | Jon S Gengler | Surgery | 2750 Clay Edwards Dr, Suite 312, North Kansas City, MO 64116-3237 | 2005-07-20 |
1326047325 | Northland General Surgery, PC | Surgery | 2750 Clay Edwards Dr, Suite 312, North Kansas City, MO 64116-3237 | 2005-07-20 |
Find all providers with the same taxonomy |
City | KANSAS CITY |
Zip Code | 64111 |
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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.