MEDICARE: ROBERT S. BENINTENDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35024889	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265437313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT S. BENINTENDI MD

Provider Business Mailing Address
First Line	:	5400 DUPONT CIRCLE
Second Line	:	SUITE A
City	:	MILFORD
State	:	OH
Zip	:	45150
Country	:	US
Telephone Number	:	513-576-7700
Fax Number	:	513-576-1020

Provider Business Practice Location Address
First Line	:	2055 HOSPITAL DRIVE
Second Line	:	SUITE 130
City	:	BATAVIA
State	:	OH
Zip	:	45103-9518
Country	:	US
Telephone Number	:	513-732-0870
Fax Number	:	513-732-0873

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/09/2011

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