Individual provider Active NPI

Ben Williams Sonnichsen, MD

  • Family Medicine Physician
  • Prosser, WA
National Provider Identifier
1295841914
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00029197 Issued in WA
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

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1585801MedicaidWA
9392SOOtherWAREGENCE
911019392OtherCOMMERCIAL
0200685OtherWAL & I
1306897681OtherNPI PROSSER MEMORIAL
1585801OtherWACHPW

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

LicenseStateTypeSpecialty
MD00017164WAMDFamily Medicine Physician
MD00029197WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.