JOSEPH BENNETT (NPI# 1164827259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164827259 |
| Entity Type | Individual |
| Full Name | JOSEPH BENNETT |
| Credential | PARAMEDIC |
| Practice Address |
Bldg 301 Andrews Ave Lyster Army Health Clinic Fort Rucker AL 36362-5333 |
| Practice Telephone | 3342557032 |
| Mailing Telephone | 3342557032 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | M8056537 | AL | Emergency Medical Service Providers |
| N | 146L00000X | Emergency Medical Technician, Paramedic | 0200024 | AL | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801074406 | Joseph Smith Bennett Iv | Internal Medicine | 1893 Fox Hill Lane, Paoli, PA 19301-0189 | 2008-02-06 |
| 1073799011 | Joseph M Bennett | Chiropractor | 2308 Temple Ave N, Fayette, AL 35555-1118 | 2008-01-19 |
| 1063627255 | Joseph L Bennett | Specialist | 5651 Hwy 752, Ashville, OH 43103-9549 | 2007-05-11 |
| 1538293261 | Joseph Ronald Bennett | Dentist | 1211 W Wheeler Pkwy, Augusta, GA 30909-1899 | 2007-03-15 |
| 1366557571 | Joseph Stephen Bennett | Dentist | 800 Highway 1 S, Delta Plaza Suite B21, Greenville, MS 38703-5952 | 2006-08-20 |
| 1952333569 | Joseph C Bennett | Chiropractor | 1300 50th Street, Lower Level-suite 106, West Des Moines, IA 50266-5499 | 2006-07-06 |
| 1235185117 | Joseph Stephen Bennett Jr. | Chiropractor | 4211 Mundy Mill Pl, Suite B, Oakwood, GA 30566-2530 | 2006-05-25 |
| 1831156983 | Joseph S Bennett | Physician Assistant | 615 S 32nd St, Muskogee, OK 74401-5012 | 2006-05-01 |
| 1003437252 | Joseph Chase Bennett | Occupational Therapist | 700 South 19th Street, 8305a - Office, Birmingham, AL 35233 | 2020-04-29 |
| 1720548183 | Joseph Grady Bennett | Internal Medicine | 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160 | 2019-03-21 |
| Street Address |
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477721298 | Jennifer R Bennett | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Fort Rucker, AL 36362 | 2008-02-14 |
| 1669995866 | Audrey Ramos | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-07-19 |
| 1487177788 | Alexis Marulanda | Emergency Medical Technician, Paramedic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-07-19 |
| 1154842078 | Eric Winston Pelkey | Emergency Medical Technician, Paramedic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-06-30 |
| 1053831156 | Matthew Lester Davenport | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-06-21 |
| 1659801462 | Gaston Garcia | Emergency Medical Technician, Paramedic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-06-14 |
| 1407386261 | James Vincent Shields | Emergency Medical Technician, Paramedic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-06-14 |
| 1972047843 | Wales Rowe | Technician/Technologist | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2016-12-13 |
| 1275083065 | Zachary Daughdrill | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2016-10-05 |
| 1114370160 | Johnnie Robbins | Registered Nurse | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2016-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770830960 | Dewayne Carl Haverstick | Emergency Medical Technician, Paramedic | 453 South Novacel Dr, Fort Rucker, AL 36362 | 2012-08-07 |
| 1124339288 | James Farris Lynn Washington | Emergency Medical Technician, Paramedic | 453 S Novasel St, Fort Rucker, AL 36362-5109 | 2010-06-23 |
| 1720304454 | Stephen L Demeter | Emergency Medical Technician, Paramedic | 8360 3rd Ave, Fort Rucker, AL 36362-2025 | 2010-04-20 |
| 1558526889 | David George Lambert | Emergency Medical Technician, Paramedic | Bldg 301 A Andrews Ave, Fort Rucker, AL 36362 | 2008-07-25 |
| 1598933806 | Mark William Davis | Emergency Medical Technician, Paramedic | Andrews Ave., Building 301, Fort Rucker, AL 36362 | 2008-02-20 |
| 1376014480 | Patrick Gabriel Lawson | Emergency Medical Technician, Paramedic | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2018-12-16 |
| 1013483122 | Michael A Bishop I | Emergency Medical Technician, Paramedic | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362 | 2018-10-16 |
| 1225522543 | Ryan Mark Asca | Emergency Medical Technician, Paramedic | Lyster Army Health Clinic, Building 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2018-06-20 |
| 1427547868 | John Louis Bates | Emergency Medical Technician, Paramedic | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2018-05-01 |
| 1366942120 | Damian A Schwab | Emergency Medical Technician, Paramedic | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2018-02-19 |
| Find all providers in FORT RUCKER | ||||
| City | FORT RUCKER |
| Zip Code | 36362 |
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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.