# DR. MICAH BENJAMIN NAIMARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811263635
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | DR.0071272 | CO | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | MD188782 | OR | — |

## Other

- **Enumeration date:** 03/26/2012
- **Last updated:** 09/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 029465 | KAISER COMMERCIAL NUMBER | CO |
| 05 | — | 500748258 | — | OR |
| 01 | — | R203748 | MEDICARE PTAN | OR |