Active NPI
Gregory Thomas Benton, MD
- Emergency Medicine Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 199991
- Practice address
- 95 E Fairway Dr
Lakeview Medical Center
Covington, LA 70433-7500 - Phone
- (985) 867-4000
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 199991 | LA | Primary |
Addresses
Primary practice location
95 E Fairway Dr
Lakeview Medical Center
Covington, LA 70433-7500
Mailing address
871 Cole CT
Covington, LA 70433-7904
Phone (504) 432-6458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063941 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199991 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Louisiana PC | Emergency Medicine | Current | Accepting new patients |
| Children's Hospital | Current | Accepting new patients | |
| Van Meter Emergency Physicians Inc. Apmc | Emergency Medicine | Current | Accepting new patients |
| In and Out Urgent Care, LLC | Current | Accepting new patients | |
| Keith Van Meter & Associates | Past | Accepting new patients | |
| Emergency Medicine Physicians of Fairfield County, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1306889092
-
dba Manning Family Children's
- Specialist
- New Orleans, LA
- NPI 1043230873
Emergency Medicine
-
- Urgent Care Clinic/Center
- New Orleans, LA
- NPI 1851725154
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1649410697
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
-
- Emergency Medicine Physician
- Stamford, CT
- NPI 1689614109
-
- Multi-Specialty Clinic/Center
- Bay St Louis, MS
- NPI 1093811051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396777421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 COLE CT",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337904",
"telephone_number": "504-432-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 E FAIRWAY DR",
"address_2": "LAKEVIEW MEDICAL CENTER",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337500",
"telephone_number": "985-867-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "GREGORY",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "199991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063941",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.