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BENJAMIN CHARLES KIESLING MD
NPI 1023759404
Student in an Organized Health Care Education/Training Program in Canton, OH

Active since April 07, 2022PECOS Enrolled
2600 6TH ST SW, CANTON, OH 44710(330) 705-6534 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2023, Apr 7, 2022 (2 updates tracked since 2022).

About Benjamin Charles Kiesling Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN CHARLES KIESLING MD (NPI 1023759404) is an individual student in an organized health care education/training program in Canton, Ohio and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Pomerene Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023759404
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN CHARLES KIESLINGCredential: MD
Location Address2600 6TH ST SWCanton, OH 44710-1702
Mailing Address2249 Donner St NwNorth Canton, OH 44720-4615 · (330) 705-6534
Phone(330) 705-6534
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2022
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1023759404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2600 6TH ST SW, Canton, OH 44710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Charles Kiesling Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628465242
PECOS Enrollment IDI20260121000569
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pomerene Hospital

Acute Care Hospitals · Millersburg, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360148
Location981 Wooster RoadMillersburg, OH 44654 · Holmes County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANEL GRACEY M.D.
Student in an Organized Health Care Education/Training Program
2600 6TH ST SW, MEDICAL EDUCATION
CANTON, OH 44710
Stark County (330) 363-4899
ANNIE SHELTON RN
Registered Nurse
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 455-0374
STARK RADIATION ONCOLOGY INCORPORATED
Radiology (Radiation Oncology)
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 454-2210
DAVID ANDREW BEARD MD
Internal Medicine
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 363-2180
RAMANA PODUGU M.D.
Internal Medicine (Cardiovascular Disease)
2600 6TH ST SW, SUITE A2-710
CANTON, OH 44710
Stark County (330) 454-8076
MERITA KONSTANTACOS RN,MSN, CCNS
Clinical Nurse Specialist
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 363-1342
LORYN HENDERSHOT
Student in an Organized Health Care Education/Training Program
2600 6TH ST SW
CANTON, OH 44710
Stark County (330) 363-4911
ARLENE ANN WEEBER CRNA
Nurse Anesthetist, Certified Registered
2600 6TH ST SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Kiesling's NPI number?

The NPI number for Benjamin Kiesling is 1023759404. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Benjamin Kiesling located?

Benjamin Kiesling practices at 2600 6th St SW, Canton, OH 44710. The listed phone number is (330) 705-6534.

What is Benjamin Kiesling's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Kiesling enrolled in Medicare?

Yes. Benjamin Kiesling is registered in the Medicare PECOS enrollment system.

Is Benjamin Kiesling affiliated with any hospitals?

According to CMS data, Benjamin Kiesling is affiliated with Pomerene Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Kiesling was last updated on July 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.