Active NPI
Stuart J. Benson, D.O., P.a.
- Primary Care Clinic/Center
- Rogers, AR
National Provider Identifier
1184074593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- N8003
- Legal business name
- STUART J. BENSON, D.O., P.A.
- Doing business as
- Platinum Health & Wellness
- Practice address
- 808 S 52ND St
Suite 201
Rogers, AR 72758-8602 - Phone
- (479) 319-6009
- Fax
- (479) 319-6002
- NPI assigned
- Jun 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stuart J Benson, D.O.
- Title
- Physician
- Phone
- (479) 531-9300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | N8003 | AR | Primary |
Addresses
Primary practice location
808 S 52ND St
Suite 201
Rogers, AR 72758-8602
Mailing address
808 S 52ND St
Suite 201
Rogers, AR 72758-8602
Phone (479) 319-6009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118662003 | Medicaid | AR |
Other names 1
- Platinum Health & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
808 S 52nd St
Ste 201
Rogers, AR 72758
Phone (479) 319-6009
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rogers, AR
- NPI 1629028584
-
- Internal Medicine Physician
- Rogers, AR
- NPI 1225086630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466035200000",
"number": "1184074593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S 52ND ST",
"address_2": "SUITE 201",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588602",
"telephone_number": "479-319-6009",
"fax_number": "479-319-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S 52ND ST",
"address_2": "SUITE 201",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588602",
"telephone_number": "479-319-6009",
"fax_number": "479-319-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART J. BENSON, D.O., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-16",
"last_updated": "2016-06-16",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "479-531-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AR",
"license": "N8003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118662003",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Platinum Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.