BENJAMIN TATE JR. (NPI# 1477170603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477170603 |
| Entity Type | Individual |
| Full Name | BENJAMIN TATE JR. |
| Credential | MS, ATC |
| Practice Address |
100 W College St Granville OH 43023-1100 |
| Mailing Address |
126 Andover Rd Apt C Heath OH 43056-1394 |
| Practice Telephone | 7405875063 |
| Mailing Telephone | 8148232482 |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2020-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT004792 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281337 | Benjamin Antonio Tate | Counselor | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-02-12 |
| Street Address |
100 W COLLEGE ST |
| City | GRANVILLE |
| State | OH |
| Zip Code | 43023-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558719963 | Kyle Matthewson | Specialist/Technologist | 100 W College St, Granville, OH 43023-1100 | 2016-05-25 |
| 1962034165 | Robert Weis | Psychologist | 100 W College St, Granville, OH 43023-1100 | 2020-02-06 |
| 1902372352 | Patricia E Harris | Specialist/Technologist | 100 W College St, Granville, OH 43023-1100 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562543 | Healing Horizons Professional Counseling LLC | Counselor | 927 River Road, Granville, OH 43023 | 2019-11-08 |
| 1376109892 | Kadian Samantha Miracle | Psychologist | 100 West College Street, Whisler Hall, Granville, OH 43023 | 2019-05-10 |
| 1710331715 | Navin Muni | Family Medicine | 1264 Weaver Drive, Granville, OH 43023 | 2016-04-16 |
| 1316335268 | Derek Fry | Specialist/Technologist | 200 Livingston Dr, Granville, OH 43023 | 2014-12-30 |
| 1174880850 | Granville Township Trustees | Ambulance | 500 S. Main Street, Granville, OH 43023 | 2012-04-18 |
| 1700022639 | Mid-ohio Counseling, LLC | Community/Behavioral Health | 905a River Road, Granville, OH 43023 | 2008-12-24 |
| 1578718540 | Perry Franklin Watson IIi | Chiropractor | 119 South Prospect Street, Granville, OH 43023 | 2008-11-18 |
| 1053524611 | Eric Ross Winters | Specialist/Technologist | 200 Livingston Way, Denison University Department of Physical Education, Granville, OH 43023 | 2007-05-08 |
| 1699988659 | Lakeesha Nicole Leonard | Specialist/Technologist | Denison University Physical Education Department, 200 Livingston Dr, Granville, OH 43023 | 2007-05-07 |
| 1447386537 | Christopher D Avery | Dentist | 127 South Prospect St, Granville, OH 43023 | 2007-02-26 |
| Find all providers in zip 43023 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457855827 | Paul Miller | Physical Medicine & Rehabilitation | 819 N Main Ave, Sidney, OH 45365-2152 | 2018-03-21 |
| 1407204639 | Pinnacle Integrated Health, LLC | Physical Medicine & Rehabilitation | 914 Trailwood Drive, Boardman, OH 44512-5007 | 2016-05-27 |
| 1992123335 | Brenton Charles Bohlig | Physical Medicine & Rehabilitation | 950 Bethesda Drive, Building 5, Unit 1, Zanesville, OH 43701 | 2014-04-02 |
| 1437461142 | Patricia Ann Bornhorst | Physical Medicine & Rehabilitation | 6325 Emerald Pkwy Ste 2b, Dublin, OH 43016-3241 | 2010-07-10 |
| 1841369196 | Jeffrey Ryan Doeringer | Physical Medicine & Rehabilitation | 121 Carriage Hill Dr, Athens, OH 45701-3213 | 2006-11-08 |
| 1043307333 | Melissa Mae Waddell | Physical Medicine & Rehabilitation | 118 Rarden Rd, Peebles, OH 45660-1049 | 2006-10-06 |
| 1821083528 | Thomas A Rossi | Physical Medicine & Rehabilitation | 6905 Hospital Dr, Suite 120, Dublin, OH 43016-9600 | 2005-09-19 |
| 1437159829 | Cuyahoga Valley Spine & Arthritis Center, Inc. | Physical Medicine & Rehabilitation | 14755 Pearl Rd, Strongsville, OH 44136-5026 | 2005-07-28 |
| 1992702427 | Ronald Michael Yarab Jr. | Physical Medicine & Rehabilitation | 822 E Western Reserve Rd, Poland, OH 44514-3359 | 2005-06-30 |
| 1841899325 | Jamie L Flynn | Physical Medicine & Rehabilitation | 1149 Stone Dr Ste 500, Harrison, OH 45030-2728 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.