DR. BENJAMIN MATHEW SACKS (NPI# 1457538498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457538498 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN MATHEW SACKS |
| Credential | MD |
| Practice Address |
8300 W 38th Ave Wheat Ridge CO 80033-6005 |
| Mailing Address |
1873 S Bellaire St Ste 420 Denver CO 80222-4361 |
| Practice Telephone | 3037531191 |
| Practice Fax Number | 3037536636 |
| Mailing Telephone | 3037531191 |
| Mailing Fax Number | 3037536636 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
28871 | NE | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DR.0055913 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LICENCE | DR.0055913 | 01 |
| NE | STATE LICENCE | 28871 | 01 |
| WA | WASHINGTON STATE | MD60158446 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649633561 | Benjamin Sacks | Physical Therapist | 105 Lismore Ave # 1, Glenside, PA 19038-4010 | 2016-03-29 |
| Street Address |
8300 W 38TH AVE |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461281 | Scl Health Front Range, Inc | Internal Medicine | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2005-10-17 |
| 1811503766 | Noah Edward Dommer | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-09-16 |
| 1629689476 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-08-14 |
| 1699385922 | Kelly Sotir | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-08-02 |
| 1770193112 | Mikkala Shae Vosmera | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-07-31 |
| 1609485523 | Kari Envik | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-07-27 |
| 1528682903 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-06-02 |
| 1093335051 | Rebecca A Green | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-04-20 |
| 1922637321 | Jillian Rouse | Registered Nurse | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-04-07 |
| 1073159166 | Ellen Margaret Rohan | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2019-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548806425 | Smi Imaging LLC | Radiology | 3840 Wadsworth Blvd Ste 5, Wheat Ridge, CO 80033-4613 | 2019-11-26 |
| 1659864684 | William Faulhaber | Radiology | 7615 W 38th Ave Unit B115, Wheat Ridge, CO 80033-6171 | 2018-06-13 |
| 1396989216 | Philippe A. Tirman | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2009-04-22 |
| 1215176904 | Sumit Mehta | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033 | 2009-02-19 |
| 1467617746 | Charles Wells | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2008-07-25 |
| 1336338086 | Brian L. Ravert | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2007-10-18 |
| 1811100449 | Adnan A. Qalbani | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2007-05-08 |
| 1356488605 | Kimberly Hawn Wright | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2007-01-30 |
| 1558372359 | Dan F. Kreider | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2006-08-10 |
| 1154348894 | Bridget N Lauro | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2006-07-17 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on DR. BENJAMIN MATHEW SACKS.
| 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.