MEDICARE: MR. SETH DELTON BENGE APRNCNP

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.0033273	OH
2	363L00000X	Nurse Practitioner	APRN.CNP.0033273	OH
3	363LF0000X	Family Nurse Practitioner	26NJ01041300	NJ

General Provider Information

NPI Number	:	1801404207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SETH DELTON BENGE APRNCNP

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-366-6886
Fax Number	:	614-685-2495

Provider Business Practice Location Address
First Line	:	1075 BEECHER XING N STE A
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-4572
Country	:	US
Telephone Number	:	614-366-6886
Fax Number	:	614-685-2495

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

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	01/06/2026

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