Individual provider Active NPI

Benjamin Oheim, AGCNS-BC

  • Gerontology Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1568940708
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
AP138289 Issued in TX
Practice address
3000 N Interstate 35 Ste 700
Austin, TX 78705-1852
Phone
(512) 807-3150
NPI assigned
Jul 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 881724 TX
Gerontology Clinical Nurse Specialist 364SG0600X AP138289 TX Primary

Addresses

Primary practice location

3000 N Interstate 35 Ste 700
Austin, TX 78705-1852

Mailing address

7016 Razors Edge Dr
Austin, TX 78744-3332
Phone (806) 570-7848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305002484 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 1355680505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

3000 N Ih
35 Suite 700
Austin, TX 78705
Phone (512) 807-3150

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
881724TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC CurrentSince Nov 15, 2018 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3000 Ih 35 N
Ste 700
Austin, TX 78681
Phone (512) 807-3157

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

3000 N Interstate 35
Ste 700
Austin, TX 78705
Phone (512) 544-2342

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1568940708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 RAZORS EDGE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787443332",
            "telephone_number": "806-570-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35 STE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051852",
            "telephone_number": "512-807-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHEIM",
        "first_name": "BENJAMIN",
        "credential": "AGCNS-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "881724",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP138289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.