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Deactivated NPI 1972598704 Deactivated / Inactive NPI Male Practitioner

Dr. Sean Thomas Benham , MD

Surgery • Manitowoc, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sean Benham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2005
NPI Deactivation Date September 18, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Sean Benham, MD was a registered Surgery practicing in Manitowoc, WI. Throughout an active medical career spanning 20 years, Dr. Benham provided care at the practice location at 1765 N 18TH ST until profile deactivation on 2025-09-18.

Practice Location & Contact Primary Location

Practice Address

1765 N 18th St

Manitowoc, WI 542210997

Telephone 9204820575
Fax 9204820579
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Manitowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Manitowoc, WI (765 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 33608020

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 18, 2025

Record deactivated on September 18, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1765 N 18TH ST, MANITOWOC, WI 542210997 (Tel: 9204820575)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 997, MANITOWOC, WI 542210997 (Tel: 9204820575)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SEAN BENHAM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #33608020 in WI)

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Initial NPI Registration & Enumeration September 19, 2005

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: 1972598704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2005
Last Update: July 08, 2007
Deactivation Date: September 18, 2025

Mailing Address

Po Box 997

Manitowoc, WI 542210997

Phone: 9204820575

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.