Active NPI
Jeffrey A Bender, M.D.
- Emergency Medicine Physician
- Saint Ignace, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301074016
- Practice address
- 220 Burdette St
Saint Ignace, MI 49781-1712 - Phone
- (906) 643-8585
- Fax
- (906) 643-0463
- NPI assigned
- Jul 27, 2006
- Last updated
- Feb 26, 2008
- 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 | 4301074016 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 4301074016 | MI |
Addresses
Primary practice location
220 Burdette St
Saint Ignace, MI 49781-1712
Mailing address
303 Devon Dr
Saint Louis, MI 48880-9428
Phone (906) 643-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4482131 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.54 of 100
- Quality
- 81.55
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Professional Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| Williams Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Hles of Ohio, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045
Interoperability endpoints
- jbender92221@direct.parkviewexchange.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Napoleon, OH
- NPI 1073246971
-
- Critical Access Hospital
- Montpelier, OH
- NPI 1275575227
-
- Emergency Medicine Physician
- Wauseon, OH
- NPI 1679806301
-
- Emergency Medicine Physician
- Bryan, OH
- NPI 1609334556
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
-
- Emergency Medicine Physician
- East Liverpool, OH
- NPI 1487380770
-
- Emergency Medicine Physician
- Coshocton, OH
- NPI 1508301623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1881618205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 DEVON DR",
"city": "SAINT LOUIS",
"state": "MI",
"postal_code": "488809428",
"telephone_number": "906-643-8585",
"fax_number": "906-643-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BURDETTE ST",
"city": "SAINT IGNACE",
"state": "MI",
"postal_code": "497811712",
"telephone_number": "906-643-8585",
"fax_number": "906-643-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301074016",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301074016",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4482131",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Ignace, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.