Individual provider Active NPI

Emily L Benekos, MD

  • Obstetrics & Gynecology Physician
  • Wooster, OH
National Provider Identifier
1023009487
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35072445B Issued in OH
Practice address
546 Winter St
Suite 100
Wooster, OH 44691-2300
Phone
(330) 345-2229
Fax
(330) 345-2236
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35072445B OH Primary

Addresses

Primary practice location

546 Winter St
Suite 100
Wooster, OH 44691-2300

Mailing address

546 Winter St
Suite 100
Wooster, OH 44691-2300
Phone (330) 345-2229

Other identifiers 9

IdentifierTypeStateIssuer
141935OtherOHHEALTHAMERICA
733579OtherOHBUCKEYE ID
311537968028OtherOHCARESOURCE ID
000000121558OtherOHANTHEM BC/BS
0701759OtherOHUNITED HEALTHCARE
2082304OtherOHAETNA HMO
2018775MedicaidOH
35072445BOtherOHUNICARE
5624549OtherOHAETNA PPO

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

LicenseStateTypeSpecialty
35072445BOHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Anne Shriner Inc. Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1023009487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 WINTER ST",
            "address_2": "SUITE 100",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912300",
            "telephone_number": "330-345-2229",
            "fax_number": "330-345-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WINTER ST",
            "address_2": "SUITE 100",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912300",
            "telephone_number": "330-345-2229",
            "fax_number": "330-345-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEKOS",
        "first_name": "EMILY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35072445B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "141935",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE ID",
            "identifier": "733579",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE ID",
            "identifier": "311537968028",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000121558",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0701759",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2082304",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018775",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "35072445B",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5624549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.