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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107261 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | PHYSICIAN ASSISTANT LICENSE | PA9107261 | 01 |
FL | 015492900 | 05 |
Street Address |
675 S BABCOCK ST |
City | MELBOURNE |
State | FL |
Zip Code | 32901-1459 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 32901 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers in MELBOURNE |
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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.