Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023545027 Individual Practitioner Male Practitioner

Eddie R Benjamin , LPN

Licensed Practical Nurse • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Eddie Benjamin, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Columbus, OH. Practice services are available at 1791 ALUM CREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1791 Alum Creek Dr

Columbus, OH 43207

Telephone 6144458131
Associated Practice Facility / Clinic
🏢 Maryhaven Inc. Facility NPI 1245290436

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
1079 Specialists

Practicing in Columbus, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH 162941

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0129422 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kenneth Jackson , LSW, LCDC III

Counselor - Mental Health

NPI 1003328550

Licensed Social Worker, LCDCIII

Tara Hupp , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003462755

Chemical Dependency Counselor Assistant

Matthew Canan , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1003640079

Chemical Dependency Counselor Assistant

Jacqueline Meadows , LPN

Licensed Practical Nurse

NPI 1013209774

Licensed Practical Nurse

Amanda Anderson , LPC

Counselor - Professional

NPI 1013401702

Licensed Professional Counselor

Amber Yoder , LPN

Licensed Practical Nurse

NPI 1013427673

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 15, 2018

Registered at 1791 ALUM CREEK DR, COLUMBUS, OH 43207 (Tel: 6144458131)

📍
Updated Business Mailing Address May 15, 2018

Registered at 1152 TULSA DR, COLUMBUS, OH 432295513 (Tel: 6199978952)

👤
Provider Name / Credentials Updated May 15, 2018

Recorded as EDDIE BENJAMIN, LPN

NPI Profile Active May 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2017

Registered at 4040 E BROAD ST, WHITEHALL, OH 432131156 (Tel: (614) 405-9500)

📍
Updated Business Mailing Address May 22, 2017

Registered at 4040 E BROAD ST, WHITEHALL, OH 432131156 (Tel: 6144059500)

👤
Provider Name / Credentials Updated May 22, 2017

Recorded as EDDIE BENJAMIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2017

Licensed Practical Nurse (License #162941 in OH)

🟢
Initial NPI Registration & Enumeration May 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023545027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2017
Last Update: May 15, 2018
Sole Proprietor: No

Mailing Address

1152 Tulsa Dr

Columbus, OH 432295513

Phone: 6199978952

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.