BENIGNO DE LOS FAUSTION-TATAJE (NPI# 1710096847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710096847 |
| Entity Type | Individual |
| Full Name | BENIGNO DE LOS FAUSTION-TATAJE |
| Credential | MD |
| Practice Address |
1905 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Practice Telephone | 2542982682 |
| Practice Fax Number | 2547787197 |
| Mailing Telephone | 2542982682 |
| Mailing Fax Number | 2547787197 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D4110 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1905 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410439 | Austin Wei Chang | Ophthalmology | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2005-07-11 |
| 1730645995 | Collins Family Pharmacy LLC | Pharmacy | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-02-13 |
| 1497230395 | Jennifer Smith | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-27 |
| 1093245854 | Jocelyn Cheung | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2017-06-14 |
| 1740736347 | Christie Lyn Torres | Nurse Practitioner | 1905 Sw H K Dodgen Loop, 1700 Brazos, Rockdale Tx 76567, Temple, TX 76502-1814 | 2016-09-01 |
| 1174977516 | Preston Neal Martin | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2016-04-22 |
| 1336544758 | Lindsey Nicole Willis | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-28 |
| 1699179465 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-22 |
| 1093121741 | Little River Medical Group | Family Medicine | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-07-02 |
| 1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831501469 | Clare Mccormick-baw | Pathology | 4916 Sarahs Way, Temple, TX 76502-3385 | 2014-06-02 |
| 1043508468 | Eduardo Castro-echeverry | Pathology | Scott & White Hospital 2401 South 31 St St, Pathology Dept. Suite 261b, Temple, TX 76508-0001 | 2011-07-19 |
| 1649709379 | Li Chen | Pathology | 2401 S 31st St, Temple, TX 76508-9413 | 2017-06-06 |
| 1679000616 | Piyush Soni | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2017-05-22 |
| 1043667082 | Parsa Hodjat | Pathology | 2401 S 31st St, Ms-01-266, Temple, TX 76508-0001 | 2016-05-19 |
| 1871972406 | Sean Trevathan | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-28 |
| 1235517301 | Ashley Kristan Windham | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-11 |
| 1275929721 | Said Mohamad Albahra | Pathology | 2401 S 31st St, Dept of Pathology, Temple, TX 76508 | 2015-04-11 |
| 1427464411 | Amelia Blaine Sybenga | Pathology | 2401 S 31st St, Department of Pathology, Rm 261b, Temple, TX 76508-0001 | 2014-07-10 |
| 1578978748 | Jagbir Khangura | Pathology | 2401 S 31st St, Temple, TX 76508-0001 | 2014-06-26 |
| Find all providers in TEMPLE | ||||
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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.