Max Benzaquen M D PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

100507 Issued in MO

Legal business name

MAX BENZAQUEN M D PC

Practice address

224 S Woods Mill Rd
Suite 290 South
Chesterfield, MO 63017-3451

Phone

(314) 878-8744

Fax

(314) 878-2234

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Marlene Sims

Title

Office Manager

Phone

(314) 878-8744

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Max P Benzaquen, MD

  • Neurology Physician
  • Chesterfield, MO
  • NPI 1366426900
  NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992836134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 290 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-878-8744",
            "fax_number": "314-878-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 290 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-878-8744",
            "fax_number": "314-878-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX BENZAQUEN M D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-878-8744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "100507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew C Bayes, MD, PC
• Grace Callahan Matthews
• Kristen Elaine Mattson, BSN, RN, SRNA
• Cheryl Mauney, M.D.
• Katherine Elise Maus, DPT
• Max Benzaquen MD PC
• Katherine A Maxson, MD
• Julia M Mayer, MD
• Madeleine Reilly Mayer, MS, SLP
• Ben Mayes, M.D.

• Specialist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Specialist in Missouri

• 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.