BENEDICT LABRADOR EBUEN PA-C
NPI 1316914682
Physician Assistant in Jacksonville, FL

NPI Status: Active since March 04, 2006

Contact Information

1536 N JEFFERSON ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 475-5800
Fax: (904) 301-2502

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  • Individual
  • Male
  • Physician Assistant

About BENEDICT EBUEN

This page provides the complete NPI Profile along with additional information for Benedict Ebuen, a primary care provider established in Jacksonville, Florida with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1316914682 assigned on March 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA9101700 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1316914682
Provider Name
BENEDICT LABRADOR EBUEN PA-C
Gender
Male
Entity Type
Individual
Location Address
1536 N JEFFERSON ST JACKSONVILLE, FL 32209
Location Phone
(904) 475-5800
Location Fax
(904) 301-2502
Mailing Address
1536 N JEFFERSON ST JACKSONVILLE, FL 32209
Mailing Phone
(904) 475-5800
Mailing Fax
(904) 301-2502
Is Sole Proprietor?
No
Enumeration Date
03-04-2006
Last Update Date
04-12-2013
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A primary care provider (PCP) like Benedict Ebuen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9101700
License State
FL
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2911027-00MEDICAID (05)FL 
657342142AMEDICAID (05)GA 
P41376MEDICARE UPIN (02)FL 
970021910MEDICARE PIN (08)FL 
E6289ZMEDICARE PIN (08)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316914682
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23261818616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 8 + 1 + 8 + 6 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1316914682 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528145893 PATRICK J DWYER MD
Individual
Family Medicine1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-6312
1295972123 DANA TURNER PA-C
Individual
Physician Assistant (Medical)1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-6318
1427364561DR. DANIELLE P VANCE O.D.
Individual
Optometrist1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-6310
1033209390DR. ELIZABETH GARCIA MCCOY M.D.
Individual
Internal Medicine1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1508860370 PATRICK M.J. HUTTON M.D.
Individual
Orthopaedic Surgery1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1598740110DR. DAVID ALEXANDER COLL M.D.
Individual
Radiology (Diagnostic Radiology)1536 N JEFFERSON ST DEPT. OF VA - JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL 32209
(904) 475-5800
1265524268DR. KIMBERLY DAWN JONES PHARM.D.
Individual
Pharmacist1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-6280
1861821381DR. JESS ALEXANDER WRIGHT PT, DPT
Individual
Physical Therapist1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1548276751DR. RENA CAPPELLI OD
Individual
Optometrist1536 N JEFFERSON ST JOPC EYE CLINIC
JACKSONVILLE, FL 32209
(904) 475-6310
1124456108MS. LILLIAM CORREA ZAVALA RPH
Individual
Pharmacist1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-6313
1033185475DR. MARTHA B WOMACK PHD
Individual
Psychologist (Clinical)1536 N JEFFERSON ST JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL 32209
(912) 447-5660
1629230875 MICHELLE LYNN HERRERO M.D.
Individual
Radiology (Diagnostic Radiology)1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1326445321 CHRISTINE GAYLORD RN
Individual
Registered Nurse (General Practice)1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1689987745 JENNIFER L. ROGERS PHARMD
Individual
Pharmacist1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1225386568 LISA A TRENT PHARM. D.
Individual
Pharmacist1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1356534069DR. ZENA LEHMANN HARDY PHARM.D.
Individual
Pharmacist1536 N JEFFERSON ST PHARMACY (119)
JACKSONVILLE, FL 32209
(904) 475-6053
1023150778DR. CYNTHIA HARRIS PHARM. D.
Individual
Pharmacist1536 N JEFFERSON ST JOC PHARMACY DEPARTMENT
JACKSONVILLE, FL 32209
(904) 475-5938
1811910375 ROBERT GREGORY LEE M.D.
Individual
Internal Medicine1536 N JEFFERSON ST VETERANS ADMINISTRATION CLINIC
JACKSONVILLE, FL 32209
(904) 475-6311
1275820557DR. DIANA LYNN SPROUSE PHARM.D.
Individual
Pharmacist1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800
1376574574 STANLEY DUANE HUBERT ROWICKI MD
Individual
Internal Medicine1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
(904) 475-5800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316914682, enumerated in the NPI registry as an "individual" on March 04, 2006

The provider is located at 1536 N Jefferson St Jacksonville, Fl 32209 and the phone number is (904) 475-5800

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.