BENIGNO B BOBON (NPI# 1487645032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487645032 |
| Entity Type | Individual |
| Full Name | BENIGNO B BOBON |
| Credential | M.D. |
| Practice Address |
3505 Duluth Park Ln Building 4, Ste 400 Duluth GA 30096-3201 |
| Practice Telephone | 6785973180 |
| Practice Fax Number | 6785973181 |
| Mailing Telephone | 6785973180 |
| Mailing Fax Number | 6785973181 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 034303 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3505 DULUTH PARK LN BUILDING 4, STE 400 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518367473 | Joel Kent Phillips | Physician Assistant | 3505 Duluth Park Ln, Suite 400, Duluth, GA 30096-3201 | 2014-08-28 |
| 1144371386 | Richard Reid Maxa | Internal Medicine | 3505 Duluth Park Ln, Building 4, Ste 400, Duluth, GA 30096-3201 | 2007-01-15 |
| 1902957152 | Maxa Internal Medicine Associates PC | Clinic/Center | 3505 Duluth Park Ln, Building 4, Ste 400, Duluth, GA 30096-3201 | 2007-01-15 |
| 1235182767 | Tender Loving Care Health Care Services of Georgia, LLC | Home Health | 3505 Duluth Park Ln, Suite 300, Duluth, GA 30096-3201 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664333 | Nations Medical Clinic Inc | Internal Medicine | 3099 Bredkinridge Blvd, Suite 110/111, Duluth, GA 30096-1011 | 2020-09-17 |
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1891193082 | Connie Hall Shrake | Internal Medicine | 3380 Moye Trl, Duluth, GA 30097-3780 | 2014-12-20 |
| 1336546662 | Robert Derro | Internal Medicine | 3662 Howell Wood Trl, Duluth, GA 30096-4803 | 2014-12-02 |
| 1992137962 | Nandi Md Incorporated | Internal Medicine | 8510 Prairie Dunes Way, Duluth, GA 30097-6666 | 2013-08-01 |
| 1730317827 | Swapna Devanna | Internal Medicine | 1001 E Superior St Ste L101, Duluth, MN 55802 | 2009-06-26 |
| 1699933226 | Shreya Raja | Internal Medicine | 5355 Northwater Way, Duluth, GA 30097-6424 | 2008-05-30 |
| 1306028410 | Christina H. Bastin Dejong | Internal Medicine | 400 E. 3rd St., Duluth Clinic, Duluth, MN 55805 | 2007-11-30 |
| 1588798706 | Susanne Pearce | Internal Medicine | 324 W. Superior St, Suite 625, Duluth, MN 55802 | 2007-03-16 |
| 1629122684 | Priority Primary Care | Internal Medicine | 3540 Duluth Park Ln Ste 170, Duluth, GA 30096-8721 | 2007-01-23 |
| Find all providers in DULUTH | ||||
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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.