Individual provider Active NPI

Peggy Benzing, D.O.

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1699727743
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS55456 Issued in FL
Practice address
8431 Pointe Loop Dr
First Floor
Venice, FL 34293-2232
Phone
(941) 207-5320
Fax
(941) 207-5321
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS5456 FL
Family Medicine Physician 207Q00000X OS55456 FL Primary

Addresses

Primary practice location

8431 Pointe Loop Dr
First Floor
Venice, FL 34293-2232

Mailing address

1605 Manor Rd
Englewood, FL 34223-4929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS55456FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Venice Emergency Medical Associates PA Emergency Medicine Past Accepting new patients
Sarasota Physical Medicine Inc PastSince Jul 26, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: peggy.benzing.1@15244.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1699727743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 MANOR RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8431 POINTE LOOP DR",
            "address_2": "FIRST FLOOR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932232",
            "telephone_number": "941-207-5320",
            "fax_number": "941-207-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZING",
        "first_name": "PEGGY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS5456",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS55456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.