Benjamin L Stradling DO

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

005042 Issued in AZ

Legal business name

BENJAMIN L STRADLING DO

Practice address

1301 S Crismon Rd
Mesa, AZ 85209-3767

Phone

(480) 358-6100

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Louis Stradling, DO

Title

Owner

Phone

(480) 776-7560

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1356645022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N GILBERT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344609",
            "telephone_number": "480-889-6598",
            "fax_number": "480-275-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767",
            "telephone_number": "480-358-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN L STRADLING DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "STRADLING",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-776-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "005042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821117912",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388663",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Anne Benga
• Lauren Benitez Valdes-Basante, RBT
• Suchela Benitez
• Yolanda Benitez, DPT
• Benjamin C. Yanofsky, OD, PLC
• Alicia Kerry Benjamin
• Clarice M Benjamin, MS., CCC/SLP
• Mathew Benjamin, M.D.
• Theresa E Benjamin, RN
• Wicliff Berris Benjamin

• Vascular & Interventional Radiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Vascular & Interventional Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.