Martha Hope Benson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0000789 Issued in MD

Practice address

4000 Annapolis Rd
Suite 105
Baltimore, MD 21227-3600

Phone

(410) 789-8399

Fax

(410) 355-1768

NPI assigned

Dec 15, 2008

Last updated

Dec 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1700882503
  NPD (past)

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1639314065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132029",
            "telephone_number": "410-558-4888",
            "fax_number": "410-327-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD",
            "address_2": "SUITE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273600",
            "telephone_number": "410-789-8399",
            "fax_number": "410-355-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "MARTHA",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376751500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Benson, LCSW-C
• Beth Benson, LCSW-C
• Jaime L Benson, PH.D.
• Jane Ellen Benson, M.D.
• Maria Benson, MS
• Paul R. Benson, PH.D.
• Michael Bent
• Aisha Bentaouza-Churchill
• Michelle Maria Bentkowski, PA
• Tangiela Michelle Bentley

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.