Georgia A. Benyk, MED

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

00070 Issued in AZ

Practice address

4650 W Sweetwater Ave
Glendale, AZ 85304-1505

Phone

(602) 347-2653

Fax

(602) 347-2709

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1043466303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W SWEETWATER AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041505",
            "telephone_number": "602-347-2653",
            "fax_number": "602-347-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SWEETWATER AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041505",
            "telephone_number": "602-347-2653",
            "fax_number": "602-347-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYK",
        "first_name": "GEORGIA",
        "middle_name": "A.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": "00070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geri Anne Bennett, MSN, BC-NI
• Suzanne MP Bennett, DO
• Alicia Benoit, PT, DPT
• Heather Benton
• Traci L Benton, COUNSELING INTERN
• Ashley Marie Berdan, PA-C
• Broc Berg
• David Berg, DC
• Gerald C Berg, DC
• Leah S. Berg, SLPA

• Local Education Agency (LEA) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.