Active NPI
Lisa D. Benton, MD, MPH
- Surgery Physician
- Columbus, OH
National Provider Identifier
1891873469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G028077
- Practice address
- 2055 Water Crest LN
Columbus, OH 43209-3337 - Phone
- (415) 746-0627
- Fax
- (614) 255-0763
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 35.092443 | OH | |
| Surgery Physician | 208600000X | G028077 | CA | Primary |
Addresses
Primary practice location
2055 Water Crest LN
Columbus, OH 43209-3337
Mailing address
2055 Water Crest LN
Columbus, OH 43209-3337
Phone (415) 746-0627
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 |
|---|---|---|---|
| 35.092443 | OH | MD | Public Health & General Preventive Medicine Physician |
| G028077 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1891873469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 WATER CREST LN",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432093337",
"telephone_number": "415-746-0627",
"fax_number": "614-255-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 WATER CREST LN",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432093337",
"telephone_number": "415-746-0627",
"fax_number": "614-255-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "LISA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "OH",
"license": "35.092443",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G028077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.