Benjamin Herendeen (NPI# 1780071696, PAC ID# 6507177177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780071696 |
| PAC ID by PECOS | 6507177177 |
| Professional Enrollment ID | I20150623002757 |
| Full Name | Benjamin Herendeen |
| Organization Legal Name | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Address |
1510 Columbus Ave Suite 230 Washington Court House OH 43160-1987 |
| Phone Number | 7403333333 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7719886738 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360017 | GRANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1450 Columbus Ave, Suite 103, Washington Court House, OH 43160-3701 | 7403332243 | FAYETTE COUNTY MEMORIAL HOSPITAL |
| 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 | 7403333333 | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita M Storts | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Amy N Davidson | Physician Assistant | Fayette County Memorial Hospital | 1430 Columbus Ave, Washington Court House, OH 43160-1703 |
| Beth L Harper | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Courtney N Herendeen | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Andrea Mckay | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Emily J Stephens | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Laura A Matrka | Otolaryngology | Fayette County Memorial Hospital | 1450 Columbus Ave, Suite 103, Washington Court House, OH 43160-3701 |
| Clista A Moore | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| David J Gunderman | Family Medicine | Fayette County Memorial Hospital | 1450 Columbus Ave, Suite 103, Washington Court House, OH 43160-3701 |
| Marta Gryniuk | Internal Medicine | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Street Address |
1510 COLUMBUS AVE SUITE 230 |
| City | WASHINGTON COURT HOUSE |
| State | OH |
| Zip | 43160-1987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita M Storts | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Beth L Harper | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Courtney N Herendeen | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Andrea Mckay | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Tabitha Melvin | Physician Assistant | Oakview Dermatology | 1510 Columbus Ave, Suite 320, Washington Court House, OH 43160-1988 |
| Stephen F D' Addario | Dermatology | Oakview Dermatology | 1510 Columbus Ave, Suite 320, Washington Court House, OH 43160-1988 |
| Emily J Stephens | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Clista A Moore | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Marta Gryniuk | Internal Medicine | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Sara E Anderson | Nurse Practitioner | Fayette County Memorial Hospital | 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160-1987 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roman A Matthews | Chiropractic | 1135 Leesburg Ave, Washington Court House, OH 43160-1269 | |
| James J Mccracken | Chiropractic | 212 N Fayette St, Washington Court Hou, OH 43160-1306 | |
| Allen D Griffiths | Optometry | 239 E Court St, Washington Court House, OH 43160-1357 | |
| Penelope A Halliday | Family Medicine | 403 E Market St, Washington Court House, OH 43160-1433 | |
| Gregory A Flerchinger | Chiropractic | 1209 Columbus Ave, Washington Court House, OH 43160-1654 | |
| Susan E Wolfe | Psychologist, Clinical | Scioto Paint Valley Mental Health Center | 1300 E Paint St, Washington Court House, OH 43160-1676 |
| Hussein I Kashk | Emergency Medicine | Community Emergency Medicine Partners LLC | 1430 Columbus Ave, Washington Court House, OH 43160-1703 |
| Amy N Davidson | Physician Assistant | Fayette County Memorial Hospital | 1430 Columbus Ave, Washington Court House, OH 43160-1703 |
| Richard U Baldwin | Emergency Medicine | Community Emergency Medicine Partners LLC | 1430 Columbus Ave, Washington Court House, OH 43160-1703 |
| Michelle K Yeager | Nurse Practitioner | Community Emergency Medicine Partners LLC | 1430 Columbus Ave, Washington Court House, OH 43160-1703 |
| Find all physicians in zip 43160 | |||
| City | WASHINGTON COURT HOUSE |
| Zip Code | 43160 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WASHINGTON COURT HOUSE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Benjamin Herendeen.
| 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.