Provider Demographics
NPI:1790123651
Name:HARPER, BENJAMIN AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:AARON
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HWY
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA, GSM, UTMCK BOX U109
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1511
Mailing Address - Country:US
Mailing Address - Phone:865-305-9220
Mailing Address - Fax:865-305-9216
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA, GSM, UTMCK BOX U109
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-9220
Practice Address - Fax:865-305-9216
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN53380207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program