Benjamin Z. Shnurman D.O.,S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036082580 Issued in IL

Legal business name

BENJAMIN Z. SHNURMAN D.O.,S.C.

Practice address

615 35TH Ave
Moline, IL 61265-6107

Phone

(309) 762-0476

Fax

(309) 762-3673

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Z. Shnurman, D.O.

Title

Owner

Phone

(309) 762-0476

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Jo Poremba, PA-C

  • Physician Assistant
  • Moline, IL
  • NPI 1295713881
  NPD (past)

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1881922391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656107",
            "telephone_number": "309-762-0476",
            "fax_number": "309-762-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656107",
            "telephone_number": "309-762-0476",
            "fax_number": "309-762-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN Z. SHNURMAN D.O.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "SHNURMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-762-0476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036082580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082580",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Bartels, DNP, ARNP, NP-C
• Stephen Robert Bayne, MD
• Julie Ann Bear
• Toyanna A Beathea, MSW, LSW
• Emily Jane Bednar, ARNP, BC
• Caciona Rae Bernstrom
• Joseph Berry, D.C.
• Michael Richard Berry, MD
• Matthew J Berst, M.D.
• Chantelle G Bessler, CSFA

• Family Medicine Physician in Moline, IL
• Providers in Moline, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.