Active NPI
Ronald S. Benenson, M.D.
- Emergency Medicine Physician
- York, PA
National Provider Identifier
1760410252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD021674E
- Practice address
- 1001 S George St
York Hospital Emergency Department
York, PA 17403-3676 - Phone
- (717) 851-2450
- Fax
- (717) 851-3469
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD021674E | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD021674E | PA |
Addresses
Primary practice location
1001 S George St
York Hospital Emergency Department
York, PA 17403-3676
Mailing address
1803 Mount Rose Ave
Ste B3
York, PA 17403-3026
Phone (717) 851-1405
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34348 | Other | PA | GEISINGER |
| 30120296 | Other | PA | AMERIHEALTH MERCY - CE |
| 000877055 | Medicaid | PA | |
| 110090012 | Other | PA | RAILROAD MEDICARE |
| 1141123 | Other | PA | AMERIHEALTH MERCY-YH |
| 145106 | Other | PA | HIGHMARK BLUE SHIELD |
| 0068519000 | Other | PA | AMERIHEALTH 65 PA |
| 1537577 | Other | PA | GATEWAY-YH |
| 30120297 | Other | PA | AMERIHEALTH MERCY - WRC |
| 50067204 | Other | PA | CAPITAL BLUE CROSS-YH |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD021674E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1760410252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "STE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033026",
"telephone_number": "717-851-1405",
"fax_number": "717-851-3469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"address_2": "YORK HOSPITAL EMERGENCY DEPARTMENT",
"city": "YORK",
"state": "PA",
"postal_code": "174033676",
"telephone_number": "717-851-2450",
"fax_number": "717-851-3469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENENSON",
"first_name": "RONALD",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD021674E",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD021674E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "34348",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - CE",
"identifier": "30120296",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000877055",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110090012",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-YH",
"identifier": "1141123",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "145106",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA",
"identifier": "0068519000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-YH",
"identifier": "1537577",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY - WRC",
"identifier": "30120297",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-YH",
"identifier": "50067204",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.