GARRETT BENNETT (NPI# 1174884431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174884431 |
Entity Type | Individual |
Full Name | GARRETT BENNETT |
Credential | M.D. |
Practice Address |
11104 Parkview Circle Dr Suite 110 Fort Wayne IN 46845 |
Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
Practice Telephone | 2604256780 |
Practice Fax Number | 2604256615 |
Enumeration Date | 2012-06-04 |
Last Update Date | 2019-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
01082465A | IN | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
306317 | LA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | LA | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1121 Valence St, New Orleans, LA 701152805 | 8122433247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336135946 | Garrett N Bennett | Family Medicine | 208 N. Cuthbert St., Miller County Medical Center, Colquitt, GA 39837-3517 | 2005-09-20 |
1689746752 | Garrett H. Bennett | Otolaryngology | 115 E 61st St, Suite 7c, New York, NY 10065-8183 | 2006-11-14 |
Street Address |
11104 PARKVIEW CIRCLE DR SUITE 110 |
City | FORT WAYNE |
State | IN |
Zip Code | 46845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
Find all providers in zip 46845 |
Taxonomy Code | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952446429 | Susan Tuori | Radiology | 11032 Carnoustie Ln, Fort Wayne, IN 46814-9321 | 2007-02-21 |
1720271471 | Indu Rekha Meesa | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2007-08-24 |
1962418038 | Peter Hiroshi Takeyama | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2006-07-31 |
1366472755 | Amit N Sanghvi | Radiology | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2006-07-03 |
1033199401 | Vivek K. Sharma | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2006-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023457967 | Sandra Quick | Radiology | 355 W 16th St Ste 4100, Indianapolis, IN 46202 | 2013-06-24 |
1861431207 | Annette C Douglas | Radiology | 8714 Sargent Creek Ln, Indianapolis, IN 46256-1376 | 2006-06-04 |
1821036575 | Mark H Coe | Radiology | 11900 N. Pennsylvania Street, Suite 100, Carmel, IN 46032-4694 | 2006-06-03 |
1619599776 | Umber Shafique | Radiology | 355 W 16th St, Indianapolis, IN 46202-2207 | 2020-05-12 |
1174963557 | Judy Wawira Gichoya | Radiology | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2013-06-28 |
1578820585 | Drew Anthony Streicher | Radiology | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2012-04-13 |
1508154667 | Barrett Fricke | Radiology | 550 University Blvd, Ste 641, Indianapolis, IN 46202-5149 | 2011-07-11 |
1194037721 | Brian D Graner | Radiology | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2010-07-12 |
1780908400 | Michael C Veronesi | Radiology | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2010-03-24 |
1831352814 | Aaron Paul Kamer | Radiology | 550 N University Blvd, Room 0641, Indianapolis, IN 46202-2879 | 2008-07-09 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46845 |
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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.