BENJAMIN LEE ADDICKS (NPI# 1598108698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598108698 |
| Entity Type | Individual |
| Full Name | BENJAMIN LEE ADDICKS |
| Credential | M.D. |
| Practice Address |
1500 Curve Crest Blvd W Stillwater MN 55082-6040 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6514391234 |
| Practice Fax Number | 6514391547 |
| Mailing Telephone | 6514391234 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 68905 | WI | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 63443 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Drive, Room 4520, Morgantown, WV 26506 | 3042930941 | 3042932902 |
| 411 Stageline Rd, Hudson, WI 540167848 | 7155316700 |
| Street Address |
1500 CURVE CREST BLVD W |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951021 | Thomas L Zurbriggen | Internal Medicine | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2005-06-10 |
| 1619502168 | Jjel,llc | Pharmacy | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2020-03-05 |
| 1689232183 | Kaytlin Hanson | Speech-Language Pathologist | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2019-05-31 |
| 1891278347 | Jennifer Lynn Brakke | Nurse Practitioner | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-09-11 |
| 1598246704 | Jennifer Burandt | Speech-Language Pathologist | 1500 Curve Crest Blvd W, Stillwater, MN 55082 | 2018-08-25 |
| 1083194211 | Sarah Grace Kirvida | Occupational Therapist | 1500 Curve Crest Blvd W, Stillwater, MN 55082 | 2018-08-16 |
| 1578040127 | Emily Marie Donahue | Physical Therapist | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-07-26 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1841711298 | Joanna Beth Hanlon | Registered Nurse | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2017-07-06 |
| 1871029116 | David Carl Hess | Internal Medicine | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141488 | Donald E Crawley | Otolaryngology | 1201 S Adams St, Stillwater, OK 74074-5476 | 2005-08-16 |
| 1740415124 | Christopher Goff | Otolaryngology | 809 S Walnut St, Stillwater, OK 74074-4226 | 2009-05-28 |
| 1114189313 | Lindsey E Klocke | Otolaryngology | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2008-06-28 |
| 1467438424 | Holly Christine Boyer | Otolaryngology | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2005-12-21 |
| 1871578393 | Bruce Frederick Dennison | Otolaryngology | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1740697689 | Katherine Lees | Otolaryngology | 200 First St Nw, Rochester, MN 55905-0001 | 2014-07-11 |
| 1679810709 | Jane-marie Grace Skorina | Otolaryngology | 3308 Irving Ave S, Minneapolis, MN 55408-3320 | 2013-01-09 |
| 1306165972 | Sobia Khaja | Otolaryngology | 516 Delaware St Se Mmc 396, University of Minnesota - Department of Otolaryngology, Minneapolis, MN 55455 | 2010-05-21 |
| 1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
| 1063675825 | Daniel Scott Schneider | Otolaryngology | 1021 Bandana Blvd West, Saint Paul, MN 55108-5107 | 2008-07-02 |
| 1275707572 | Joshua Yorgason | Otolaryngology | 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422-2961 | 2008-04-17 |
| 1558532135 | Norman Thomas Berlinger | Otolaryngology | 320 Manitoba Ave, Wayzata, MN 55391-1614 | 2008-03-21 |
| 1366629461 | Ridgeview Clinics | Otolaryngology | 223 N Carver St, Winthrop, MN 55396 | 2008-01-31 |
| 1598976326 | Oakdale Ear, Nose & Throat Clinic, P.a. | Otolaryngology | 3366 Oakdale Ave North, Suite 150, Robbinsdale, MN 55422 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.