ROLAND D BENIGNO (NPI# 1578775748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578775748 |
| Entity Type | Individual |
| Full Name | ROLAND D BENIGNO |
| Credential | PA-C |
| Practice Address |
485 S Dobson Rd Ste 110 Chandler AZ 85224 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 4807284470 |
| Practice Fax Number | 4807284499 |
| Mailing Telephone | 6024064786 |
| Mailing Fax Number | 9166364358 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2350 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2350 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 3Z3993 | 01 |
| AZ | 501936 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1760 E Florence Blvd, #120, Casa Grande, AZ 85122 | 5204261000 | 5204261395 |
| Street Address |
485 S DOBSON RD STE 110 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386604767 | Miguel A. Pirela-cruz | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2006-03-28 |
| 1417435181 | Ellayna Wiedow | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2018-08-03 |
| 1275052664 | Christian Andreen | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224 | 2017-09-17 |
| 1417316449 | Joby K Janardhanan | Nurse Practitioner | 485 S Dobson Rd Ste 110, Chandler, AZ 85224 | 2016-02-18 |
| 1396116992 | Vanessa Gordon | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2015-10-08 |
| 1356683924 | Ammar Karim | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2013-03-21 |
| 1215215678 | Emily Cha | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224 | 2011-08-02 |
| 1073846176 | Jamie Jennette Coracides | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2009-09-08 |
| 1386847226 | Benjamin L. Geer | Orthopaedic Surgery | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2007-06-07 |
| 1558315606 | Suzanne Mary Vienuzis | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528439965 | Amici Surgical Assistants | Physician Assistant | 123 W Chandler Heights Rd Unit 13132, Chandler, AZ 85248-1087 | 2015-10-12 |
| 1932527108 | John Proctor | Physician Assistant | 1210 W Shawnee Dr, Chandler, AZ 85224-2369 | 2014-04-03 |
| 1720237431 | Advanced Surgical Assistants LLC | Physician Assistant | 2074 E Honeysuckle Pl, Chandler, AZ 85286-2315 | 2008-09-17 |
| 1528013364 | Prime Surgical Assisting, LLC | Physician Assistant | 2905 W Warner Rd Ste 1, Chandler, AZ 85224-1674 | 2006-05-23 |
| 1356305890 | Christabelle N Wong | Physician Assistant | 975 E Riggs Rd, Suite 12-268, Chandler, AZ 85249-4260 | 2006-04-13 |
| 1629032206 | Delia Bautista Tobin | Physician Assistant | 1538 E Fairview St, Chandler, AZ 85225-2222 | 2006-04-12 |
| 1861491706 | Brian E Hertel | Physician Assistant | 4424 E Virgo Pl, Chandler, AZ 85249-5898 | 2005-07-21 |
| 1417435181 | Ellayna Wiedow | Physician Assistant | 485 S Dobson Rd Ste 110, Chandler, AZ 85224-5600 | 2018-08-03 |
| 1679091920 | Shane Joseph Ewalt | Physician Assistant | 525 S Chandler Village Dr, Chandler, AZ 85226-5069 | 2017-09-07 |
| 1922419191 | Advanced Surgical Physician Assistants, LLC | Physician Assistant | 2925 E Riggs Rd, Suite 8-114, Chandler, AZ 85249-3600 | 2014-05-09 |
| Find all providers in CHANDLER | ||||
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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.