Benjamin S Gozon MD SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BENJAMIN S GOZON MD SC

Doing business as

Capitol Rehabilitation Clinic

Practice address

8518 W Capitol Dr
Milwaukee, WI 53222-1827

Phone

(414) 464-4888

Fax

(414) 464-1850

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin S Gozon III, M.D.NPI 1033170428

Title

President

Phone

(414) 464-4888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capitol Rehabilitation Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin S Gozon III, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1033170428
  NPD Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1669433066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221827",
            "telephone_number": "414-464-4888",
            "fax_number": "414-464-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221827",
            "telephone_number": "414-464-4888",
            "fax_number": "414-464-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN S GOZON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "GOZON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-464-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21285100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Rehabilitation Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Jacob Benish III
• Sarah Raquel Benitez, APSW
• Poonam Beniwal-Patel, M.D.
• Kaushalya Beniwal, M D
• Benjamin S Gozon MD SC
• Adam Benjamin, MD
• Ivor J. Benjamin, MD
• Christopher Joseph Bennett, M.D.
• Peter Flanagan Bennett
• Cynthia Ann Benning, RPH

• Physical Medicine & Rehabilitation Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.