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

Benjamin M Holman, PA

Individual provider Surgical Physician Assistant · NPI 1770507246

Benjamin M Holman, PA is a Physician Assistant in Peoria, Illinois. Qualified in 2006, 20 years ago. Practices with Midwest Orthopaedic Center S C, a 46-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6000 N Allen Rd
Peoria, IL 61614-3294
Phone: (309) 691-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085002725 (IL)

Record details

NPI number1770507246
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address6000 N Allen Road, Peoria, IL 61614-3294

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Midwest Orthopaedic Center S C — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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