Active NPI
Benjamin Coleman Panther, PA-C
- Physician Assistant
- Camas, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60698188
- Practice address
- 3240 NE 3Rd Ave
Camas, WA 98607-2408 - Phone
- (360) 729-8234
- Fax
- (360) 293-3337
- NPI assigned
- Sep 15, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60698188 | WA | Primary |
Addresses
Primary practice location
3240 NE 3Rd Ave
Camas, WA 98607-2408
Mailing address
3240 NE 3Rd Ave
Camas, WA 98607-2408
Phone (360) 838-2440
Other practice location 1
3240 NE 3rd Ave
Camas, WA 98607-2408
Phone (360) 838-2440
Other practice location 2
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100
Other practice location 3
505 NE 87th Ave Ste 260
Vancouver, WA 98664-1965
Phone (360) 514-6450
Other practice location 4
315 NE 192nd Avenue, Suite 310
camas, WA 98607
Phone (360) 729-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161031001268 | WA | Practitioner - Physician Assistant | 0648558379 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100
505 NE 87TH Ave
Vancouver, WA 98664-1965
Hospital & facility affiliations
- Peacehealth Southwest Home Health
- Peacehealth Southwest Medical Cente
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Southwest Washington Medical Center | Past | Accepting new patients |
Locations
3240 NE 3rd Ave
Camas, WA 98607
Phone (360) 729-8234
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
505 NE 87th Ave
Ste 260
Vancouver, WA 98664
Phone (360) 514-6450
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
16811 SE McGillivray Blvd
Vancouver, WA 98683
Phone (360) 514-4900
Interoperability endpoints
- bpanther455722@direct.peacehealth.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1891785903
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1104227669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 NE 3RD AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072408",
"telephone_number": "360-838-2440",
"fax_number": "360-838-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 NE 3RD AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072408",
"telephone_number": "360-729-8234",
"fax_number": "360-293-3337"
}
],
"practiceLocations": [
{
"address_1": "3240 NE 3rd Ave",
"address_purpose": "LOCATION",
"city": "Camas",
"state": "WA",
"postal_code": "986072408",
"country_code": "US",
"telephone_number": "360-838-2440",
"fax_number": "360-838-2450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16811 SE McGillivray Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986833404",
"country_code": "US",
"telephone_number": "360-735-8100",
"fax_number": "360-253-1781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 NE 87th Ave Ste 260",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986641965",
"country_code": "US",
"telephone_number": "360-514-6450",
"fax_number": "360-514-6451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 NE 192nd Avenue, Suite 310",
"address_purpose": "LOCATION",
"city": "camas",
"state": "WA",
"postal_code": "98607",
"country_code": "US",
"telephone_number": "360-729-8200",
"fax_number": "360-729-8201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANTHER",
"first_name": "BENJAMIN",
"middle_name": "COLEMAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-15",
"last_updated": "2020-11-25",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60698188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.