MR. ERIC GUST BENSON (NPI# 1649527664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649527664 |
| Entity Type | Individual |
| Full Name | MR. ERIC GUST BENSON |
| Credential | RN, FNP |
| Practice Address |
12700 Welch St Waterford CA 95386-8765 |
| Mailing Address |
434 E Fairmont Ave Modesto CA 95354-0207 |
| Practice Telephone | 2098742345 |
| Practice Fax Number | 2098743926 |
| Mailing Telephone | 2099187033 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 492134 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
13248 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA NUMBER | MB4043624 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851790687 | Eric R. Benson | Counselor | 5356 Lawton Ave, Oakland, CA 94618-1108 | 2014-08-18 |
| 1093830119 | Eric Benson | Dentist | 774 Elmgrove Rd, Rochester, NY 14624-1318 | 2007-03-20 |
| 1639272644 | Eric Paul Benson | Internal Medicine | 1551 E Mullan Ave Bldg A Ste 101, Post Falls, ID 83854-9005 | 2006-09-06 |
| 1679089171 | Eric Robert Benson | Psychologist | 80 Worcester St, North Grafton, MA 01536-1041 | 2017-12-19 |
| 1194129981 | Eric Benson | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-10-22 |
| 1992110118 | Eric Michael Benson | Massage Therapist | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2014-06-26 |
| 1033531710 | Eric Benson | Behavioral Analyst | 5135 Camino Al Norte, Suite 255, North Las Vegas, NV 89031-2387 | 2014-01-14 |
| 1669609566 | Eric A Benson | Internal Medicine | 1001 W 10th St, M200, Indianapolis, IN 46202-2859 | 2009-06-18 |
| 1396828372 | Eric Anthony Benson | Chiropractor | 527 N Diers Ave, Suite 2, Grand Island, NE 68803-4977 | 2006-10-23 |
| 1750489134 | Eric B Benson | Dentist | 1675 Nw Federal Hwy, Stuart, FL 34994 | 2006-09-20 |
| Street Address |
12700 WELCH ST |
| City | WATERFORD |
| State | CA |
| Zip Code | 95386-8765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664684 | Don Michael Endress | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2005-07-29 |
| 1326106501 | Don Michael Endress M.d. | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366857658 | Diana Hollingshead-parker | Registered Nurse | 421 Tim Bell Rd, Waterford, CA 95386 | 2014-06-25 |
| 1497817407 | James Yamamoto | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386 | 2006-12-15 |
| 1356686992 | Kimberlie Ann Payne | Occupational Therapy Assistant | 13209 Fountain Dr, Waterford, CA 95386-8858 | 2012-12-08 |
| 1518423631 | Gill Pharmacy Inc | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2019-02-13 |
| 1639709520 | Ravi Gandhi | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2020-01-20 |
| 1528433588 | Livingston Community Health | Clinic/Center | 12619 Bentley St, Waterford, CA 95386-9011 | 2015-12-02 |
| 1336176122 | Maximilian A. Schanderl | Pharmacist | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-06-27 |
| 1518992031 | Tower Pharmacy, Inc. | Pharmacy | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-07-12 |
| 1588762538 | Krishnamoorthi Krishnamoorthi | Internal Medicine | 324 F St, Waterford, CA 95386-9013 | 2006-09-20 |
| 1417329640 | Agatha John | Family Medicine | 324 F St, Waterford, CA 95386-9013 | 2015-10-27 |
| Find all providers in zip 95386 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675214 | Dayna Niewolak | Nurse Practitioner | 3034 Harbor Ct, Waterford, MI 48328-2593 | 2020-06-29 |
| 1184273179 | Cathy Jo Duchow-cross | Nurse Practitioner | 7914 Foxwater Blvd, Waterford, WI 53185-1882 | 2019-09-11 |
| 1972164366 | Richard Barrie Dalrymple | Nurse Practitioner | 3249 Golfhill Dr, Waterford, MI 48329-4520 | 2019-06-26 |
| 1396301685 | Katelyn Peticca Hawley | Nurse Practitioner | 3525 Karen Pkwy Apt 204, Waterford, MI 48328-4609 | 2019-05-13 |
| 1427552587 | Kailey Allison Temple | Nurse Practitioner | 3901 Highland Rd Ste D, Waterford, MI 48328-2162 | 2018-03-22 |
| 1043696867 | Janetlynne Erickson | Nurse Practitioner | 194 Riviera Ter, Waterford, MI 48328-3465 | 2015-08-04 |
| 1114251360 | Mary Beth Martin | Nurse Practitioner | 260 Hudson River Rd, Waterford, NY 12188-1910 | 2009-09-21 |
| 1629088802 | Goranka Anne Vucenovic | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-09 |
| 1023013430 | Vickie Lea Deleruyelle | Nurse Practitioner | 151 Anderson Ln, Waterford, OH 45786-5312 | 2005-06-14 |
| 1598244246 | Shera Carolyn Ivy Thompson | Nurse Practitioner | 2446 Elizabeth Lake Rd, Waterford, MI 48328-3310 | 2018-08-13 |
| Find all providers in WATERFORD | ||||
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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.