Provider Demographics
NPI:1700884665
Name:HOCH, BENJAMIN LASHAR (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:LASHAR
Last Name:HOCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 PLEASANT
Mailing Address - Street 2:SUITE #LL3
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1414
Mailing Address - Country:US
Mailing Address - Phone:515-241-8861
Mailing Address - Fax:515-241-8855
Practice Address - Street 1:1212 PLEASANT
Practice Address - Street 2:SUITE #LL3
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1414
Practice Address - Country:US
Practice Address - Phone:515-241-8861
Practice Address - Fax:515-241-8855
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228325207ZP0101X
NMMD2017-0967207ZP0101X
IA45874207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY55R721Medicare ID - Type Unspecified
NYH62303Medicare UPIN