MR. BENJAMIN THOMAS ANDERSON (NPI# 1851690275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851690275 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN THOMAS ANDERSON |
| Credential | D.O. |
| Practice Address |
1101 Michigan Ave Logansport IN 46947-1528 |
| Practice Telephone | 5747537541 |
| Mailing Telephone | 5747537541 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 02004299A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000881873 | 01 |
| IN | 201094390 | 05 | |
| IN | MCR RAILROAD | P01342297 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1720282775 | Benjamin Freeman Anderson Jr. | Optometrist | 5062 W Atlantic Ave, Delray Beach, FL 33484-8129 | 2007-06-13 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1861981300 | Benjamin Anderson | Behavior Technician | 1910 Olympic Blvd Ste 220, Walnut Creek, CA 94596-5071 | 2018-05-09 |
| 1710384060 | Benjamin Anderson | Chiropractor | 2255 S 108th St, West Allis, WI 53227-1107 | 2014-12-02 |
| 1184056624 | Benjamin H. Anderson | Physician Assistant | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 | 2013-08-07 |
| 1508203712 | Benjamin Anderson | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2013-05-29 |
| 1497098404 | Benjamin James Anderson | Psychiatry & Neurology | 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2013-03-28 |
| 1073775839 | Benjamin James Anderson | Dentist | 14625 California St, Omaha, NE 68154-1950 | 2008-07-01 |
| 1417143272 | Benjamin Charles Anderson | Occupational Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2007-09-14 |
| Street Address |
1101 MICHIGAN AVE |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885274 | Rose M Ewing | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2005-07-18 |
| 1053918409 | Jill Yager | Physician Assistant | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-10-07 |
| 1093320038 | Jennifer Hager | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-09-15 |
| 1992313738 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-07-17 |
| 1639704711 | Norma Fielding | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-03-09 |
| 1699315648 | Rachel Leann Tiefel | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-01-07 |
| 1558904441 | Matthew Miller | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-10-23 |
| 1396394300 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-09-11 |
| 1124585351 | Marcia K Nagle | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-02-24 |
| 1679059729 | Sydney Rae Sims | Specialist/Technologist | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| 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 |
|---|---|---|---|---|
| 1386817344 | Jennifer Carlos | Internal Medicine | 1201 Michigan Ave Ste 170, Logansport, IN 46947-1585 | 2008-04-10 |
| 1245368646 | Marc Sheldon Nusholtz | Internal Medicine | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2007-02-28 |
| 1871680199 | Lynette Smith-caillouet | Internal Medicine | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1580 | 2006-10-06 |
| 1215964127 | Vivek S Sahgal | Internal Medicine | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1580 | 2006-06-27 |
| 1952381352 | David L Morrical | Internal Medicine | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1580 | 2006-01-20 |
| 1295715217 | Cherie A Bennett | Internal Medicine | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1580 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1194354530 | Mycare Express Clinic | Internal Medicine | 3608 W 80th Ln, Merrillville, IN 46410-5061 | 2020-04-07 |
| 1508493669 | Md Healthcare Direct | Internal Medicine | 5330 Harrison Street, Merrillville, IN 46410-1465 | 2020-03-26 |
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1235799909 | Emd Healthcare, LLC | Internal Medicine | 6582 W Deerfield Dr, Zionsville, IN 46077-7500 | 2019-06-16 |
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
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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.