Sarah Benson, PA-C
Individual provider Active NPI Medical Physician Assistant · Warrenton, MO
NPI 1922628528 · NPPES record last updated Apr 24, 2020
Key facts
- NPI
- 1922628528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2005 (CT)
- Practice address
- 26791 Andrews LN
Warrenton, MO 63383-6240 - Phone
- (636) 456-7384
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005 | CT | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2005 | CT | Yes |
Addresses
Primary practice location
26791 Andrews LN
Warrenton, MO 63383-6240
Mailing address
26791 Andrews LN
Warrenton, MO 63383-6240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005 | Other | CT | PHYSICIAN ASSISTANT LICENSE |
Other providers in Warrenton, MO
- Babar Enterprises LLC
- Bankhead DDS Warrenton Orthodontics PC
- Danielle Barclay
- Jason Bradley Bechtoldt
- Abagail Behlmann
- Jennifer M Bernstein
- Biermann Eye Health P.C.
- Elyce Bishop
- Andrea Nicole Bixby
- Amanda Christine Block
All providers in Warrenton, MO · Medical Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.