Benjamin Grant Marshall (NPI# 1922369859, PAC ID# 1456661107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922369859 |
| PAC ID by PECOS | 1456661107 |
| Professional Enrollment ID | I20191008003594 |
| Full Name | Benjamin Grant Marshall |
| Organization Legal Name | GARDEN STREET MEDICAL GROUP LLC |
| Address |
1785 Garden St Titusville FL 32796-3221 |
| Phone Number | 3212699612 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153608831 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190036 | OCHSNER MEDICAL CENTER NEW ORLEANS |
| 100028 | PARRISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1785 Garden St, Titusville, FL 32796-3221 | 3212699612 | GARDEN STREET MEDICAL GROUP LLC |
| Organization Legal Name | GARDEN STREET MEDICAL GROUP LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Schuman Storey | Internal Medicine | Garden Street Medical Group LLC | 1785 Garden St, Titusville, FL 32796-3221 |
| Street Address |
1785 GARDEN ST |
| City | TITUSVILLE |
| State | FL |
| Zip | 32796-3221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Schuman Storey | Internal Medicine | Garden Street Medical Group LLC | 1785 Garden St, Titusville, FL 32796-3221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Slone | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Eric A Moore | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Mayra A Abelleira Martinez | Psychiatry | 2355 Truman Scarborough Way, Attn Cfo, Titusville, FL 32796-1310 | |
| Ismael A Beloso | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Charles Ikegwuonu | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Laura Kn Powell | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Debra Kay Allen | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Aluino L Ochoa | Internal Medicine | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Cheryl M Gardner | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Kimberly E Lundquist | Nurse Practitioner | Indian River Medical Office Pa | 3300 Dairy Rd, Titusville, FL 32796-1512 |
| Find all physicians in zip 32796 | |||
| City | TITUSVILLE |
| Zip Code | 32796 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TITUSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Benjamin Grant Marshall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.