MR. BENJAMIN MICHAEL ENSELL


Address: 675 S Babcock St, Melbourne, FL 32901-1459
Phone: 3219511010

MR. BENJAMIN MICHAEL ENSELL (NPI# 1932540861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932540861
Entity Type Individual
Full Name MR. BENJAMIN MICHAEL ENSELL
Credential PA-C
Practice Address 675 S Babcock St
Melbourne
FL 32901-1459
Practice Telephone 3219511010
Mailing Telephone 3219511010
Enumeration Date 2013-07-08
Last Update Date 2015-12-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9107261 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL PHYSICIAN ASSISTANT LICENSE PA9107261 01
FL 015492900 05

Office Location

Street Address 675 S BABCOCK ST
City MELBOURNE
State FL
Zip Code 32901-1459

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861486854 Choi Ken Agcadili Velasco Internal Medicine 675 S Babcock St, Melbourne, FL 32901-1459 2005-09-06
1487217063 Heather M Weeks Nurse Practitioner 675 S Babcock St, Melbourne, FL 32901-1459 2019-04-18
1558807669 Amelia Lois Tosi Nurse Practitioner 675 S Babcock St, Melbourne, FL 32901-1459 2017-01-12
1659743094 Indigo Dermatology LLC Specialist 675 S Babcock St, Melbourne, FL 32901-1459 2015-10-26
1437324670 Monica Wise Nurse Practitioner 675 S Babcock St, Melbourne, FL 32901 2008-04-29
1235194754 David J Pocoski Internal Medicine 675 S Babcock St, Melbourne, FL 32901-1459 2006-04-18
1225099104 Sein Win Internal Medicine 675 S Babcock St, Melbourne, FL 32901-1459 2006-03-30
1114912607 Quality Medical Care Pa Internal Medicine 675 S Babcock St, Melbourne, FL 32901-1459 2005-09-12
1932194420 Subhash Kumar Thareja Internal Medicine 675 S Babcock St, Melbourne, FL 32901-1459 2005-09-12
1932193026 Htin Aung Thaung Internal Medicine 675 S Babcock St, Melbourne, FL 32901-1459 2005-09-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093263873 Kaitlin Lassen Physician Assistant 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8565 2016-09-21
1386815835 Jessica L Boudreaux-milligan Physician Assistant 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935 2008-03-12
1013106376 Sabrina Wu Staples Physician Assistant 3337 Hoofprint Dr, Melbourne, FL 32940-2304 2007-10-23
1528032547 David A Harris Physician Assistant 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 2006-02-15
1023094414 Patrick Gene Campbell Physician Assistant 1494 Avocado Ave, Melbourne, FL 32935-6532 2005-12-19
1184618233 George David Mccullough Physician Assistant 1051 S Hickory St, Ste A, Melbourne, FL 32901-1962 2005-09-06
1255877981 Michael Paul Teepe Physician Assistant 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 2017-01-19
1336597137 Barbara Suzanne Coleman Physician Assistant 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 2016-06-02
1144687534 Alexis Best Physician Assistant 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 2016-01-15
1346662103 Casey W Langel Physician Assistant 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 2014-01-14
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Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

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.

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