Douglas Benson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

389798 Issued in OH

Practice address

993 Bristol Champion Townline Rd NW
Bristolville, OH 44402-9658

Phone

(330) 889-6111

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1558893685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 BRISTOL CHAMPION TOWNLINE RD NW",
            "city": "BRISTOLVILLE",
            "state": "OH",
            "postal_code": "444029658",
            "telephone_number": "330-889-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 BRISTOL CHAMPION TOWNLINE RD NW",
            "city": "BRISTOLVILLE",
            "state": "OH",
            "postal_code": "444029658",
            "telephone_number": "330-889-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "DOUGLAS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "389798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Beachler
• Bristol Local Schools
• Iva Byler
• Heather M Goelz
• Kelly K. Omalia MD Inc. (Bristolville Family Health Center)
• Valerie Wilding Lewis, RN

• Registered Nurse in Bristolville, OH
• Providers in Bristolville, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.