Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35072445B | OH |
NPI | 1023009487 |
---|---|
Provider Name | Mrs. Emily L Benekos |
First Address | Wooster, OH 44691-2300 |
Second Address | Wooster, OH 44691-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 15/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000121558 | ANTHEM BC/BS (01) | OH |
0701759 | UNITED HEALTHCARE (01) | OH |
141935 | HEALTHAMERICA (01) | OH |
2018775 | (05) | OH |
2082304 | AETNA HMO (01) | OH |
311537968028 | CARESOURCE ID (01) | OH |
35072445B | UNICARE (01) | OH |
5624549 | AETNA PPO (01) | OH |
733579 | BUCKEYE ID (01) | OH |
G62622 | (02) | OH |