Individual provider Active NPI

Benjamin Denny Knox, MD

  • Specialist
  • Easton, MD
National Provider Identifier
1649276452
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0043197 Issued in MD
Practice address
510 Idlewild Ave
Easton, MD 21601-3824
Phone
(410) 820-8226
Fax
(410) 820-8405
NPI assigned
Jun 27, 2005
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0043197 MD Primary

Addresses

Primary practice location

510 Idlewild Ave
Easton, MD 21601-3824

Mailing address

510 Idlewild Ave
Easton, MD 21601-3824
Phone (410) 820-8226

Other identifiers 1

IdentifierTypeStateIssuer
205211300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000412 TN Practitioner - Orthopedic Surgery 1052300639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0043197MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Orthopaedic Associates P C Specialist Current Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Jul 5, 2010 Accepting new patients
Appalachian Orthopaedic Associates P C CurrentSince Jul 5, 2010 Accepting new patients

Locations

1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161

105 Meadow View Rd
Ste 4
Bristol, TN 37620
Phone (423) 844-6935

260 Midway Medical Park
Ste 100
Bristol, TN 37620
Phone (423) 968-4446

3 Professional Park Dr
Ste 10
Johnson City, TN 37604
Phone (423) 926-4331

3 Professional Park Dr
Ste 21
Johnson City, TN 37604

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1649276452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "BENJAMIN",
        "middle_name": "DENNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0043197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205211300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.