DR. STEPHEN HIGGS BENNETT III


Address: 1045 E 3900 S, Suite 201, Salt Lake City, UT 84124-1100
Phone: 8012664212

DR. STEPHEN HIGGS BENNETT III (NPI# 1013989235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013989235
Entity Type Individual
Full Name DR. STEPHEN HIGGS BENNETT III
Credential M.D.
Practice Address 1045 E 3900 S
Suite 201
Salt Lake City
UT 84124-1100
Mailing Address 1045 E 3900 S
Suite 201
Salt Lake City
UT 84124
Practice Telephone 8012664212
Practice Fax Number 8012664974
Mailing Telephone 8012664212
Mailing Fax Number 8012664974
Enumeration Date 2006-02-02
Last Update Date 2010-09-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 1642451205 UT Other Service Providers

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Office Location

Street Address 1045 E 3900 S
SUITE 201
City SALT LAKE CITY
State UT
Zip Code 84124-1100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619252384 Emilse Antonio Peraza Physician Assistant 1045 E 3900 S, Salt Lake City, UT 84124-1100 2011-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437533932 Krystal Ahlstrom Specialist 544 E Wilmington Ave, Salt Lake City, UT 84106-1419 2015-07-14
1528460607 John Miller Holman Jr. Specialist 4765 S Ichabod St, Salt Lake City, UT 84117-6461 2014-09-21
1750795423 Judy Denise Wall Specialist 4425 S Camille St, Salt Lake City, UT 84124-3624 2014-06-20
1821434424 Robert Bradley Wray Specialist 2665 E. Parleys Way, #204, Salt Lake City, UT 84109-1672 2013-05-22
1295170850 Rodolphe Ruffy Specialist 4228 S Park Terrace Dr, Salt Lake City, UT 84124-3417 2013-05-08
1063857159 Afshin Ahmadiyan Specialist 2431 E Catalina Dr, Salt Lake City, UT 84121-3939 2013-05-03
1508112426 Floyd Jackson Millet Specialist 2015 Scenic Dr, Salt Lake City, UT 84108-3317 2012-07-29
1386904043 David Earl Moore Specialist 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 2012-05-29
1437422995 Brent Farr Robertson Specialist 1321 E South Temple, 5, Salt Lake City, UT 84102-1830 2012-02-14
1861787756 William Halls Specialist 171 3rd Ave, # 310, Salt Lake City, UT 84103-5006 2011-06-18
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Competitor

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City SALT LAKE CITY
Zip Code 84124

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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