John W Benton MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

18127 Issued in MN

Legal business name

JOHN W BENTON MD PA

Practice address

1600 University Avenue West
Suite 306
St Paul, MN 55104

Phone

(651) 379-2772

Fax

(651) 379-2774

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John W Benton, MDNPI 1821116021

Title

President

Phone

(651) 379-2772

Specialties & licenses 1

Addresses

Locations

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.

• John Webster Benton, MD

  • Orthopaedic Surgery Physician
  • Saint Paul, MN
  • NPI 1821116021
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891824553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVENUE WEST",
            "address_2": "SUITE 306",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-379-2772",
            "fax_number": "651-379-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVENUE WEST",
            "address_2": "SUITE 306",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-379-2772",
            "fax_number": "651-379-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W BENTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-379-2772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "18127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Johansson Sr., PSYD
• Elizabeth Johlson
• John E. Savage, M.D., P.a.
• John Hansen M.a. Licensed Psychologist LLC
• John R. Petersen D.C. P.a. (Spine & Sports Chiropractic)
• Paulose S John, M.D
• Christine L Johns, MD
• James W Johns, LICSW
• Erica Lynn Johnsen, PHD, LP
• Jenna Michelle Johnson-Clark, LPCC

• Orthopaedic Surgery Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Orthopaedic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.