Active NPI
John Benziger, MD
- Anatomic Pathology & Clinical Pathology Physician
- Augusta, ME
National Provider Identifier
1871652552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 011870
- Practice address
- 6 E Chestnut St
Augusta, ME 04330-5717 - Phone
- (207) 626-1406
- Fax
- (207) 626-1046
- NPI assigned
- Dec 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 011870 | ME | Primary |
Addresses
Primary practice location
6 E Chestnut St
Augusta, ME 04330-5717
Mailing address
PMB 2700
4 Scamman St Suite 19
Saco, ME 04072
Phone (207) 282-4704
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025969 | Other | ME | ANTHEM |
| 111800199 | Medicaid | ME | |
| 2232573 | Other | ME | AETNA |
| M59112 | Other | ME | CIGNA |
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 |
|---|---|---|---|
| 011870 | ME | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1871652552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 2700",
"address_2": "4 SCAMMAN ST SUITE 19",
"city": "SACO",
"state": "ME",
"postal_code": "04072",
"telephone_number": "207-282-4704",
"fax_number": "207-286-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E CHESTNUT ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305717",
"telephone_number": "207-626-1406",
"fax_number": "207-626-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENZIGER",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "ME",
"license": "011870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "025969",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111800199",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2232573",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M59112",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.