GARRETT BENNETT


Address: 11104 Parkview Circle Dr Suite 110, Fort Wayne, IN 46845
Phone: 2604256780

GARRETT BENNETT (NPI# 1174884431) 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) 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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1121 Valence St, New Orleans, LA 701152805 8122433247

Other Providers GARRETT BENNETT

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

Office Location

Street Address 11104 PARKVIEW CIRCLE DR SUITE 110
City FORT WAYNE
State IN
Zip Code 46845

Providers in the same zip code

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 Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City FORT WAYNE
Zip Code 46845

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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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