Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Jefferson Laube

Individual provider Physician Assistant · NPI 1174338255

Benjamin Jefferson Laube is a Physician Assistant in Edgewood, Kentucky. Qualified in 2025, 1 year ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-2465
Fax: (859) 301-4941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC028 (KY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1174338255
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 7, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing addressPo Box 636324, Cincinnati, OH 45263-6324

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Edgewood