Active NPI
Ben Williams Sonnichsen, MD
- Family Medicine Physician
- Prosser, WA
National Provider Identifier
1295841914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00029197
- Practice address
- 820 Memorial Street
Suite 1
Prosser, WA 99350-2504 - Phone
- (509) 786-2010
- Fax
- (509) 788-1794
- NPI assigned
- Aug 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00017164 | WA | |
| Family Medicine Physician | 207Q00000X | MD00029197 | WA | Primary |
Addresses
Primary practice location
820 Memorial Street
Suite 1
Prosser, WA 99350-2504
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-5898
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1585801 | Medicaid | WA | |
| 9392SO | Other | WA | REGENCE |
| 911019392 | Other | COMMERCIAL | |
| 0200685 | Other | WA | L & I |
| 1306897681 | Other | NPI PROSSER MEMORIAL | |
| 1585801 | Other | WA | CHPW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017164 | WA | MD | Family Medicine Physician |
| MD00029197 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosser Public Hospital District of Benton County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Walla Walla, WA
- NPI 1518770155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1295841914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989480190",
"telephone_number": "509-865-5898",
"fax_number": "509-865-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 MEMORIAL STREET",
"address_2": "SUITE 1",
"city": "PROSSER",
"state": "WA",
"postal_code": "993502504",
"telephone_number": "509-786-2010",
"fax_number": "509-788-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNICHSEN",
"first_name": "BEN",
"middle_name": "WILLIAMS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00017164",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00029197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1585801",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "9392SO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "911019392",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0200685",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI PROSSER MEMORIAL",
"identifier": "1306897681",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHPW",
"identifier": "1585801",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prosser, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.