Active NPI
Samuel D. Benjamin MD, MD(H), PLLC
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1801036538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13742
- Legal business name
- SAMUEL D. BENJAMIN MD, MD(H), PLLC
- Practice address
- 15721 N Greenway Hayden Loop
#103
Scottsdale, AZ 85260 - Phone
- (480) 661-1880
- Fax
- (480) 661-1890
- NPI assigned
- Feb 20, 2009
- Last updated
- Jul 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Dorian Benjamin, MD
- Title
- President
- Phone
- (480) 661-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13742 | AZ | Primary |
Addresses
Primary practice location
15721 N Greenway Hayden Loop
#103
Scottsdale, AZ 85260
Mailing address
15721 N Greenway Hayden Loop
#103
Scottsdale, AZ 85260
Phone (480) 661-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063625424 | Other | AZ | NPI |
National Provider Directory
National Provider DirectoryLocations
12020 E Shea Blvd
Ste 7
Scottsdale, AZ 85259
Phone (480) 661-1880
15721 N Greenwy Hdn Loop
Ste 103
Scottsdale, AZ 85260
Phone (602) 362-4200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246838400000",
"number": "1801036538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15721 N GREENWAY HAYDEN LOOP",
"address_2": "#103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "480-661-1880",
"fax_number": "480-661-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15721 N GREENWAY HAYDEN LOOP",
"address_2": "#103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "480-661-1880",
"fax_number": "480-661-1890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL D. BENJAMIN MD, MD(H), PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-07-06",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "DORIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-661-1880",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "13742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1063625424",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.