Jerome M. Benavides, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M0351 Issued in TX

Practice address

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431

Phone

(253) 968-3885

NPI assigned

Nov 8, 2007

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark M. Casillas, M.D., P.a.

  dba Foot and Ankle Center of South Texas

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1174772461
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1336329127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Navarro St",
            "address_2": "Suite 1616",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782052516",
            "country_code": "US",
            "telephone_number": "210-224-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "JEROME",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M0351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bembenek Travel Health Washington, PC (Passport Health)
• Mary Lynne Bement, FNP
• Yael Ben-Ari, RC
• Julie Rebecca Benally
• Cody Andrew Benavides, DPT
• Linda Christine Benavides, MD
• Nancy Benavides, PHARMD
• Daniel Bender
• Chloe B Bendler, PHT
• Grace Benedict

• Orthopaedic Surgery Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.