MELISA A BENHAM (NPI# 1871558429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871558429 |
| Entity Type | Individual |
| Full Name | MELISA A BENHAM |
| Credential | MD |
| Practice Address |
209 Speight Ave Waco TX 76706-1507 |
| Practice Telephone | 2547101010 |
| Practice Fax Number | 2547102499 |
| Mailing Telephone | 2547101010 |
| Mailing Fax Number | 2547102499 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | H0156 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
209 SPEIGHT AVE |
| City | WACO |
| State | TX |
| Zip Code | 76706-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568702421 | Baylor University | Clinic/Center | 209 Speight Ave, 2nd Floor, Waco, TX 76706-1507 | 2013-02-28 |
| 1073617593 | Baylor Univ Health Center Pharmacy | Pharmacy | 209 Speight Ave, Ste 214, Waco, TX 76706-1507 | 2006-09-13 |
| 1942237466 | Baylor University | Psychiatry & Neurology | 209 Speight Ave, Baylor University Health Center, Waco, TX 76706-1507 | 2006-06-28 |
| 1457316549 | Virginia K Henderson | Physical Therapist | 209 Speight Ave, Waco, TX 76706-1507 | 2006-04-20 |
| 1114982147 | Linda A Williams | Family Medicine | 209 Speight Ave, Waco, TX 76706-1507 | 2006-04-20 |
| 1912962267 | Ronald W Bradshaw | Family Medicine | 209 Speight Ave, Waco, TX 76706-1507 | 2006-04-19 |
| 1184689697 | Linda M Bostwick | Nurse Practitioner | 209 Speight Ave, Waco, TX 76706-1507 | 2006-04-18 |
| 1669437190 | Sharon J Stern | Family Medicine | 209 Speight Ave, Waco, TX 76706-1507 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432632 | Jennifer Podrebarac | Counselor | 2010 Lasalle Ave, Ste B, Waco, TX 76706 | 2020-09-21 |
| 1629604186 | Lisa Grady | Counselor | 2010 Lasalle Ave, Suite A, Waco, TX 76706 | 2020-03-17 |
| 1699333096 | Magnolia Home Health LLC | Home Health | 635 N Robinson Dr Ste D, Robinson, TX 76706 | 2019-05-31 |
| 1669954863 | Lezlie Athey | Physical Therapy Assistant | 2997 Palomino Trail, Robinson, TX 76706 | 2018-09-04 |
| 1588144273 | David Allen Sulsh | Dentist | 421 N. Robinson Dr., Robinson, TX 76706 | 2018-08-21 |
| 1871942938 | Premier Er Plus - Waco, LLC | Clinic/Center | 221 N Jack Kultgen Expy, Suite 100, Waco, TX 76706 | 2016-06-09 |
| 1770970667 | Grant Louis Bargender | Specialist/Technologist | 1500 S. University Parks Dr, Baylor Athletic Training, Waco, TX 76706 | 2015-04-19 |
| 1376890533 | Focus Behavioral Associates, LLC | Behavioral Analyst | 635 N. Robinson Drive, Suite #k, Robinson, TX 76706 | 2012-08-07 |
| 1700113750 | Sheila A Luttrull | Nurse Practitioner | 1127 Ross Ave., Waco, TX 76706 | 2009-11-12 |
| 1386854065 | Social Work Connection | Case Management | 680 Apple Cross Court, Robinson, TX 76706 | 2007-05-23 |
| Find all providers in zip 76706 | ||||
| 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 |
|---|---|---|---|---|
| 1437681095 | Sannoor Surani | Internal Medicine | 6405 Crystal Ct, Waco, TX 76712-6969 | 2017-03-31 |
| 1407116163 | Justin Wylie Wray | Internal Medicine | 1700 West Ave # 6, Waco, TX 76707-3054 | 2012-05-29 |
| 1245597400 | Dane Langsjoen | Internal Medicine | 120 Hillcrest Medical Blvd Fl 3, Waco, TX 76712-8948 | 2012-04-12 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1881808566 | Waco Infectious Disease Associates | Internal Medicine | 7030 New Sanger Rd Ste 202, Waco, TX 76712-3991 | 2007-05-10 |
| 1477690766 | James M Otto | Internal Medicine | 2201 Macarthur Dr Ste 100, Waco, TX 76708-3159 | 2007-01-30 |
| 1891844585 | Waco Internal Medicine Associates, P.a. | Internal Medicine | 2800 Lyle Ave, Waco, TX 76708-2680 | 2007-01-10 |
| 1003981341 | Cancer and Blood Specialists of Texas, Pa | Internal Medicine | 3420 Pine Ave, Waco, TX 76708-3130 | 2006-11-22 |
| 1194837732 | Rima Bishara | Internal Medicine | 2115 N 34th St, Waco, TX 76708-3114 | 2006-08-31 |
| Find all providers in WACO | ||||
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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.