Active NPI
Christopher Lee Vanbenschoten, M.D.
- Adult Medicine Physician
- Westlake, TX
National Provider Identifier
1922446848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 130449
- Practice address
- 1301 Solana Blvd BLDG 2
# 2200
Westlake, TX 76262-1659 - Phone
- (817) 767-6111
- Fax
- (817) 582-0359
- NPI assigned
- Jun 13, 2013
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 130449 | FL | Primary |
Addresses
Primary practice location
1301 Solana Blvd BLDG 2
# 2200
Westlake, TX 76262-1659
Mailing address
231 Riverside Dr
Unit 1203
Holly Hill, FL 32117
Phone (772) 321-9721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130449 | FL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Advocate Health Partners, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
35095 US Highway 19 N
Ste 102
Palm Harbor, FL 34684
Phone (727) 674-1400
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
-
- Pain Clinic/Center
- Palm Harbor, FL
- NPI 1699388843
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1922446848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 RIVERSIDE DR",
"address_2": "UNIT 1203",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "32117",
"telephone_number": "772-321-9721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SOLANA BLVD BLDG 2",
"address_2": "# 2200",
"city": "WESTLAKE",
"state": "TX",
"postal_code": "762621659",
"telephone_number": "817-767-6111",
"fax_number": "817-582-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBENSCHOTEN",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "130449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.