Active NPI
Ben Go M.D. P.C.
- Internal Medicine Physician
- Trenton, MI
National Provider Identifier
1225217847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BG057837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benedict Go, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4534238 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040730001132 | MI | Part B Supplier - Clinic/Group Practice | 7810967254 |
Receives reassigned benefits from 1 practitioner Practice locations: Riverview, MI |
National Provider Directory
National Provider DirectoryLocations
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.