TARA C. BENTON MD – NPI #1609032895
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

TARA BENTON is a physician located in KANSAS CITY, MO. NPPES has assigned the NPI number 1609032895 to TARA BENTON on August 06, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name TARA CARMEN KUNKLER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 14 years ago on Oct 03, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TARA BENTON below.

NPI Profile for
TARA C. BENTON

NPI Number
1609032895
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TARA C. BENTON
Former Name: TARA CARMEN KUNKLER
Credentials
MD
Primary location
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone: (816) 234-3000 Fax:
Mailing address
4309 W 110TH ST
LEAWOOD, KS 66211-1424
Phone: (630) 212-1317 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
MO 2012029906
208000000X
- Pediatrics
IL 125-050752

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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