Organization Active NPI

Ben Go M.D. P.C.

  • Internal Medicine Physician
  • Trenton, MI
National Provider Identifier
1225217847
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BG057837 Issued in MI
Legal business name
BEN GO M.D. P.C.
Practice address
1650 Fort St
Suite E
Trenton, MI 48183-2041
Phone
(734) 692-6676
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Benedict Go, MDNPI 1831147768
Title
MD/President
Phone
(734) 692-6676

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X BG057837 MI Primary

Addresses

Primary practice location

1650 Fort St
Suite E
Trenton, MI 48183-2041

Mailing address

1650 Fort St
Suite E
Trenton, MI 48183-2041
Phone (734) 692-6676

Other identifiers 1

IdentifierTypeStateIssuer
4534238MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730001132 MI Part B Supplier - Clinic/Group Practice 7810967254 Receives reassigned benefits from 1 practitioner
Practice locations: Riverview, MI

National Provider Directory

National Provider Directory

Locations

14720 King Rd
Ste B
Riverview, MI 48193
Phone (734) 675-1150

1650 Fort St
Ste E
Trenton, MI 48183
Phone (734) 692-6676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1225217847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 FORT ST",
            "address_2": "SUITE E",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832041",
            "telephone_number": "734-692-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 FORT ST",
            "address_2": "SUITE E",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832041",
            "telephone_number": "734-692-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN GO M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "BENEDICT",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "734-692-6676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "BG057837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4534238",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.

Verify at the official NPI Registry.