Active NPI
Andrew David Benefield, M.D.
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- TRN13445
- Practice address
- 655 W. Eighth St.
Clinical Center, 1St Floor
Jacksonville, FL 32209 - Phone
- (904) 244-3837
- Fax
- (904) 244-4508
- NPI assigned
- May 7, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TRN13445 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | ME116742 | FL | |
| Emergency Medicine Physician | 207P00000X | 068364 | GA |
Addresses
Primary practice location
655 W. Eighth St.
Clinical Center, 1St Floor
Jacksonville, FL 32209
Mailing address
655 W. Eighth St. Box C506
Clinical Center, 1St Floor
Jacksonville, FL 32209
Phone (904) 244-3837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Washington School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Covington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN13445 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Emergency Care Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tacoma Emergency Care Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tacoma Emergency Care Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Olympia Emergency Care Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1770823791
-
- Emergency Medicine Physician
- Olympia, WA
- NPI 1396498671
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1073854766
-
- Emergency Medicine Physician
- Covington, WA
- NPI 1295075216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1457585259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W. EIGHTH ST. BOX C506",
"address_2": "CLINICAL CENTER, 1ST FLOOR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209",
"telephone_number": "904-244-3837",
"fax_number": "904-244-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W. EIGHTH ST.",
"address_2": "CLINICAL CENTER, 1ST FLOOR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209",
"telephone_number": "904-244-3837",
"fax_number": "904-244-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEFIELD",
"first_name": "ANDREW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-07",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "TRN13445",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME116742",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "068364",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.