NPIMap

Organization Active NPI

Dr. Conrad H. Benoit, PC

Doing business as Osterville Internal Medicine

  • Internal Medicine Physician
  • Hyannis, MA
National Provider Identifier
1598954950
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74996 Issued in MA
Legal business name
DR. CONRAD H. BENOIT, PC
Doing business as
Osterville Internal Medicine
Practice address
687 W Main St
Hyannis, MA 02601-3421
Phone
(508) 771-8114
Fax
(508) 771-5822
NPI assigned
Oct 22, 2007
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Conrad Henri Benoit, DONPI 1629059985
Title
Owner
Phone
(508) 771-8114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74996 MA Primary

Addresses

Primary practice location

687 W Main St
Hyannis, MA 02601-3421

Mailing address

PO Box 278
Osterville, MA 02655-0278
Phone (508) 771-8114

Other identifiers 1

IdentifierTypeStateIssuer
M17302OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Osterville Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1598954950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026550278",
            "telephone_number": "508-771-8114",
            "fax_number": "508-771-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013421",
            "telephone_number": "508-771-8114",
            "fax_number": "508-771-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CONRAD H. BENOIT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "HENRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-771-8114",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M17302",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osterville Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.