BENJAMIN EARLE PA-C
NPI 1669017562
Physician Assistant in Fort Leonard Wood, MO

Active since November 14, 2019
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-0035 Get Directions Write a Review

NPPES record last updated: November 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2019, Nov 14, 2019 (2 updates tracked since 2019).

About Benjamin Earle Pa-c NPPES

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

BENJAMIN EARLE PA-C (NPI 1669017562) is an individual physician assistant in Fort Leonard Wood, Missouri and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1669017562
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN EARLECredential: PA-C
Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098
Mailing Address198 B Lyle Curtis CircleWaynesville, MO 65583
Sole ProprietorYes
Enumeration DateNovember 14, 2019
Last NPPES UpdateNovember 24, 20192 updates tracked since enumeration
NPI 1669017562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
4430 MISSOURI AVE, Fort Leonard Wood, MO 65473

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.

Physician Assistant
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Psychologist (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Nurse Practitioner
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Emergency Medicine
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Audiologist
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Social Worker (Clinical)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Preventive Medicine (Public Health & General Preventive Medicine)
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473

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 Earle's NPI number?

The NPI number for Benjamin Earle is 1669017562. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Benjamin Earle located?

Benjamin Earle practices at 4430 Missouri Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0035.

What is Benjamin Earle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Earle was last updated on November 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.