Thomas Henry Benton, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

C5130 Issued in AR

Practice address

1801 E State Route K
West Plains, MO 65775-6616

Phone

(417) 257-2454

NPI assigned

Sep 17, 2006

Last updated

Aug 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Arkansas Health Group

  dba Baptist Health Family Clinic Baptist Health Drive

  • Health Service Clinic/Center
  • Little Rock, AR
  • NPI 1790721157

  Adult Medicine

  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1174620819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013318",
            "telephone_number": "417-257-2454",
            "fax_number": "417-256-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E STATE ROUTE K",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657756616",
            "telephone_number": "417-257-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AR",
            "license": "C5130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102262001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Belcher
• David Alejandro Benalcazar Almeida, MD
• Paula Kay Bennett, CRNA
• Arthur George Bentley, D.O.
• Carmen L Bentley
• Lorrie Bettis
• Rebecca Kay Beville, MA, QMHP
• BHG Lxxiv, LLC (BHG Medical Services - Missouri)
• BHG Xxviii, LLC
• Bill Stafford, M.D. (Stafford Pediatrics)

• Adult Medicine Physician in West Plains, MO
• Providers in West Plains, MO by specialty
• Adult Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.