MR. BENJAMIN THOMAS HENNESSEE (NPI# 1912105164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912105164 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN THOMAS HENNESSEE |
| Credential | PA-C |
| Practice Address |
100 W Parkview Dr Henderson NC 27536-5923 |
| Mailing Address |
508 Hardscrabble Dr Hillsborough NC 27278-9767 |
| Practice Telephone | 2524383549 |
| Practice Fax Number | 2524382084 |
| Mailing Telephone | 3013186688 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010--02477 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8102695 | 05 |
| Street Address |
100 W PARKVIEW DR |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922035302 | James Howard Perry | Family Medicine | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2006-06-28 |
| 1396302105 | Philip James Hinman | Social Worker | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2019-05-28 |
| 1346711009 | Erin Bristow | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2018-12-06 |
| 1255863254 | Laura Ucik | Family Medicine | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2017-03-29 |
| 1942660626 | Hallie Rachel Murchison | Physician Assistant | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2016-02-24 |
| 1538542782 | Charla Leigh Rose | Dentist | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2015-07-07 |
| 1417366188 | Becky Lynn D'agostino | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536 | 2014-08-07 |
| 1457608382 | Karen Wood Highlander | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2012-08-09 |
| 1205146586 | Kay Belk Suh | Nurse Practitioner | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2010-10-20 |
| 1124269022 | Rural Health Group, Inc. | Clinic/Center | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2009-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| 1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
| 1760557151 | Leda W.z. Edwards | Physician Assistant | 6301 Mountain Vista, Suite #205, Henderson, NV 89014 | 2006-11-21 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1750997078 | Els Dauven | Physician Assistant | 10950 S Eastern Ave Ste 100, Henderson, NV 89052-4971 | 2020-09-22 |
| 1952926297 | Dana Shepherd | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-06-12 |
| 1861957722 | Michaela R Parrish | Physician Assistant | 1621 Front St, Henderson, NE 68371-8902 | 2019-02-05 |
| 1770056566 | Justin Peter Spangler | Physician Assistant | 2900 N Green Valley Pkwy, Henderson, NV 89014-0410 | 2019-01-04 |
| 1396217493 | Audrey N Darreguet | Physician Assistant | 10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908 | 2018-12-30 |
| 1871082511 | Robert Wimmer | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-05-08 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on MR. BENJAMIN THOMAS HENNESSEE.
| 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.