DR. KATHLEEN BENNING (NPI# 1134136435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134136435 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN BENNING |
| Credential | DO |
| Practice Address |
143 Longwater Dr Norwell MA 02061-1683 |
| Practice Telephone | 7818785200 |
| Mailing Telephone | 7818785200 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 248669 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 042297845 | 01 | |
| PHCS/MULTI-PLAN | 042297845 | 01 | |
| MA | MEDICAID | 110089181A | 01 |
| GIV/UNICARE | 042297845 | 01 | |
| HVMA/FIRST HEALTH/COVENTRY | 042297845 | 01 | |
| CIGNA | 0816728 | 01 | |
| HARVARD PILGRIM | AA217699 | 01 | |
| TRICARE | 042297845 | 01 | |
| NHP | 1134136435 | 01 | |
| MA | BCBSMA | J49047 | 01 |
| UNITED HEALTH CARE | 04-2297845 | 01 | |
| FALLON | 1134136435 | 01 | |
| TUFTS AND TUFTS MEDICARE PREFERRED | 769190 | 01 |
| Street Address |
143 LONGWATER DR |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560488 | Scott P. Corkins | Family Medicine | 143 Longwater Dr, South Shore Medcal Center, Inc, Norwell, MA 02061-1683 | 2005-07-07 |
| 1427671601 | Kimberly Hope Azulay | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2020-05-22 |
| 1033778824 | South Shore Medical Center, Inc | Allergy & Immunology | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-06-06 |
| 1154885606 | Lindsay Verraster | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-01-29 |
| 1285112052 | South Shore Medical Center, Inc | Clinic/Center | 143 Longwater Dr, Norwell, MA 02061-1683 | 2018-08-02 |
| 1528597267 | Allyson Julia Gutstein | Pediatrics | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-06-07 |
| 1760913271 | Julia M. Vu | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-03-26 |
| 1134673346 | Patrick Joseph Welch | Physician Assistant | 143 Longwater Dr, Norwell, MA 02061-9147 | 2016-08-05 |
| 1811356132 | Erica Moses | Registered Nurse | 143 Longwater Dr, Norwell, MA 02061 | 2016-02-15 |
| 1710360136 | Emily Mcphee | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912030 | Michol Negron Do, PC | Family Medicine | 947 Main St, Norwell, MA 02061-2313 | 2017-10-03 |
| 1700836384 | Matthew D Butka | Family Medicine | 99 Longwater Cir, Suite 100, Norwell, MA 02061-1642 | 2006-05-12 |
| 1578560488 | Scott P. Corkins | Family Medicine | 143 Longwater Dr, South Shore Medcal Center, Inc, Norwell, MA 02061-1683 | 2005-07-07 |
| 1760913271 | Julia M. Vu | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-03-26 |
| 1124438874 | Tamkeen M. Farooq | Family Medicine | 143 Longwater Drive, Norwell, MA 02061 | 2014-05-03 |
| 1366889933 | Allison M. Ledoux | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2013-05-23 |
| 1457614588 | Cara Leigh Sacchetti | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2012-06-22 |
| 1790911584 | Kylee C. Eagles | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2009-06-08 |
| 1457592651 | Circle of Life Family Medicine PC | Family Medicine | 6 Grove St, Unit D, Norwell, MA 02061-1534 | 2009-03-18 |
| 1407019854 | Suzanne M Mackay | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2008-07-07 |
| Find all providers in NORWELL | ||||
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| 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.