LIFEOPTIMIZED - BENNERMEDICAL INC (NPI# 1538794250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538794250 |
| Entity Type | Organization |
| Organization Name | LIFEOPTIMIZED - BENNERMEDICAL INC |
| Practice Address |
14090 Hg Trueman Rd Ste 2300 Solomons MD 20688-3151 |
| Mailing Address |
16 Ingate Ter Arbutus MD 21227-3849 |
| Practice Telephone | 4433866561 |
| Mailing Telephone | 4433866561 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | JAMES NICHOLS (ADMINISTRATOR) |
| Authorized Official Telephone | 4433866561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133VN1201X | ||||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
14090 HG TRUEMAN RD STE 2300 |
| City | SOLOMONS |
| State | MD |
| Zip Code | 20688-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
| 1568982981 | Jordan Clinton King | Chiropractor | 14350 Solomos Island Road, Suite #103a, Solomons, MD 20688 | 2017-06-27 |
| 1770027260 | Southern Maryland Myofascial Release, Inc. | Physical Therapist | 90 Holiday Drive, Suite C and D1, Solomons, MD 20688 | 2016-12-19 |
| 1003262171 | Bernice Burroughs | Massage Therapist | 90 Holiday Drive, Suite D3, Solomons, MD 20688 | 2016-05-09 |
| 1780001982 | Kathleen Arban | Social Worker | 14350 Solomons Island Rd. Suite 202, Solomons, MD 20688 | 2014-03-25 |
| 1902175599 | Anne Dennen Etzkorn | Dentist | 14532 Solomons Island Rd, Solomons, MD 20688 | 2011-12-28 |
| 1851532204 | L. Steven Berns, Lcsw-c, Ltd | Social Worker | The Avondale Center, Suite 1244, Solomons, MD 20688 | 2009-03-16 |
| 1285879759 | Joyce Gradle | Counselor | 14350 Solomons Island Rd., Solomons, MD 20688 | 2008-12-11 |
| 1356510713 | The Training Room Inc | Durable Medical Equipment & Medical Supplies | 14090 H G Trueman Rd, Solomons, MD 20688 | 2008-02-29 |
| 1194923011 | Shah Associates Md LLC | Internal Medicine | 14090 H G Trueman Rd, Ste, Solomons Medical Center, Solomons, MD 20688 | 2007-07-03 |
| Find all providers in zip 20688 | ||||
| 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 |
|---|---|---|---|---|
| 1194923011 | Shah Associates Md LLC | Internal Medicine | 14090 H G Trueman Rd, Ste, Solomons Medical Center, Solomons, MD 20688 | 2007-07-03 |
| 1235245820 | Patricia Gurny | Internal Medicine | 14090 Hg Trueman Rd, Suite 2300, Solomons, MD 20688-3151 | 2006-08-23 |
| 1386662757 | Shahid Siddiqui | Internal Medicine | 14090 H.g. Truman Rd, Ste. 2100, Solomons, MD 20688 | 2006-07-17 |
| 1902872435 | Charles Myron Benner | Internal Medicine | 14090 Hg Trueman Rd Ste 2300-710, Solomons, MD 20688-3151 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528353 | Barry Whitcomb Wolcott | Internal Medicine | 7353 Oskaloosa Dr, Derwood, MD 20855-2647 | 2020-11-04 |
| 1891396107 | Medacute Care LLC | Internal Medicine | 313 Skyview Dr, Cumberland, MD 21502-1929 | 2020-11-03 |
| 1689272262 | Marsha Seidelman, M.d., LLC | Internal Medicine | 10301 Georgia Ave Ste 304, Silver Spring, MD 20902-5020 | 2020-10-15 |
| 1770190647 | Medical Maryland Star Choice LLC | Internal Medicine | 2308 Pot Spring Rd, Luthvle Timon, MD 21093-2726 | 2020-09-25 |
| 1538774609 | Benchmark Medical LLC | Internal Medicine | 904 Stags Head Rd, Towson, MD 21286-1459 | 2020-09-15 |
| 1760090294 | Outreach Recovery II, LLC | Internal Medicine | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| 1699398008 | Tb Medical | Internal Medicine | 10753 Falls Rd Ste 225, Lutherville, MD 21093-4597 | 2020-05-20 |
| 1073136693 | Bernard Willis Parker | Internal Medicine | 15239 Briarcliff Manor Way, Burtonsville, MD 20866-1662 | 2020-05-19 |
| 1134742695 | Dura Internal Medicine Limited Liability Company | Internal Medicine | 15225 Shady Grove Rd Ste 103, Rockville, MD 20850-3252 | 2020-05-19 |
| 1457973026 | Zeus Primary Care Associates LLC | Internal Medicine | 4701 Randolph Rd Ste 209a, Rockville, MD 20852-2257 | 2020-05-17 |
| 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.