Active NPI
Louis A Benoist, MD
- Orthopaedic Surgery Physician
- Neillsville, WI
National Provider Identifier
1013017938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 36472
- Practice address
- 216 Sunset Place
Memorial Medical Center
Neillsville, WI 54456 - Phone
- (715) 743-3101
- Fax
- (715) 743-6245
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 36472 | WI | Primary |
Addresses
Primary practice location
216 Sunset Place
Memorial Medical Center
Neillsville, WI 54456
Mailing address
216 Sunset Place
Memorial Medical Center
Neillsville, WI 54456
Phone (715) 743-3101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32124300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36472 | WI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013017938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 SUNSET PLACE",
"address_2": "MEMORIAL MEDICAL CENTER",
"city": "NEILLSVILLE",
"state": "WI",
"postal_code": "54456",
"telephone_number": "715-743-3101",
"fax_number": "715-743-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 SUNSET PLACE",
"address_2": "MEMORIAL MEDICAL CENTER",
"city": "NEILLSVILLE",
"state": "WI",
"postal_code": "54456",
"telephone_number": "715-743-3101",
"fax_number": "715-743-6245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOIST",
"first_name": "LOUIS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "36472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32124300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neillsville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.