DR. JOHN DWIGHT BENTLEY (NPI# 1144337874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144337874 |
| Entity Type | Individual |
| Full Name | DR. JOHN DWIGHT BENTLEY |
| Credential | MD |
| Practice Address |
440 E Tampa St Springfield MO 65806-1131 |
| Mailing Address |
Po Box 5681 Springfield MO 65801-5681 |
| Practice Telephone | 4178310150 |
| Practice Fax Number | 4178310155 |
| Mailing Telephone | 4178310150 |
| Mailing Fax Number | 4178310155 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R3412 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200382828 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670523 | John B. Bentley | Anesthesiology | 4620 E Camp Lowell Dr, Tucson, AZ 85712-1296 | 2005-06-24 |
| 1780628198 | John Gregory Bentley | Pain Medicine | 3948 Browning Pl, Suite 109, Raleigh, NC 27609-6510 | 2006-06-15 |
| 1295720480 | John Philip Bentley | Physical Therapist | 149 Medical Plaza Lane, Suite A, Whitesburg, KY 41858 | 2005-09-14 |
| Street Address |
440 E TAMPA ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468411 | Della Goodwin | Social Worker | 440 E Tampa St, Springfield, MO 65806-1131 | 2005-06-24 |
| 1144829466 | Marianette Colon Laboy | Psychologist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-10-19 |
| 1316576523 | Sarah Beth Jackson | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-04-08 |
| 1942839410 | Darius William Sanford | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-04-06 |
| 1639707649 | Trent Duane Madsen | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1457988453 | Chelsea Runez Brown | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1043845993 | Hallie Casteel | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-10 |
| 1588298228 | Chelsea Houser | Nurse Practitioner | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-02 |
| 1104458207 | Linsey Denney | Occupational Therapist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-02-06 |
| 1962052092 | Adeline Limmex | Counselor | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639675077 | Anand Kanjolia, M.d. LLC | Internal Medicine | 222 Carew St Fl 4, Springfield, MA 01104-4109 | 2018-04-04 |
| 1376068817 | Personal Primary Care and Weight Management, LLC | Internal Medicine | 299 Carew St Ste 234, Springfield, MA 01104-2368 | 2017-08-05 |
| 1184145682 | Basma Al-bast | Internal Medicine | 701 N 1st St Ste 434, Springfield, IL 62702-3757 | 2017-07-05 |
| 1689124604 | John Duff | Internal Medicine | 2909 S Camber Ave, Springfield, MO 65809-3547 | 2016-10-13 |
| 1669834941 | Siddhi Joshi | Internal Medicine | 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 | 2016-03-24 |
| 1265898936 | Mohammad Rahimuddin | Internal Medicine | 2556 Snyder Domer Rd, Springfield, OH 45502-8161 | 2016-01-11 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1679992895 | Ahlam Elbadri | Internal Medicine | 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 | 2014-04-15 |
| 1528487543 | Barbara Vinci | Internal Medicine | 2443 Troy Rd, Springfield, OH 45504-4233 | 2014-04-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
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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.