BENJAMIN JOHN RICH NPI 1881178580

NPI Information

NPI: 1881178580
Provider Name: BENJAMIN JOHN RICH
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
220 W 7200 S STE A
MIDVALE, UT
ZIP 84047
Phone: (801) 566-5494
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Benjamin John Rich is a surgical physician assistant in Midvale, UT with 6 years of experience. Benjamin John Rich NPI is 1881178580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

220 W 7200 S STE A
MIDVALE, UT
ZIP 84047-043
Phone: (801) 566-5494
Fax: (877) 497-4661

The NPI 1881178580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2018 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		7510295-1206	UTAH	No
2	363AM0700X	Physician Assistant	Medical	7510295-1206	UTAH	No
3	363AS0400X	Physician Assistant	Surgical	7510295-1206	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7510295-1206	OTHER	UTAH	UTAH PA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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