IVAN R BENNETT (NPI# 1184658056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184658056 |
| Entity Type | Individual |
| Full Name | IVAN R BENNETT |
| Credential | PA |
| Practice Address |
7798 Discovery Dr. West Chester OH 45069-6542 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5139392263 |
| Practice Fax Number | 5138744579 |
| Mailing Telephone | 5135855506 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50002463 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50-002463 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100001230 | 05 | |
| OH | MEDICARE CGS | BEPA27101 | 01 |
| Street Address |
7798 DISCOVERY DR. |
| City | WEST CHESTER |
| State | OH |
| Zip Code | 45069-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891900 | Ami Hardik Parikh | Pharmacist | 8288 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-11-05 |
| 1083215172 | Ashley Dozier | Pharmacist | 8288 Cincinnati-dayton Road, West Chester, OH 45069 | 2020-11-04 |
| 1891393575 | Georgia Leeanne Mako | Nurse Practitioner | Minute Clinic #2342, 7217 Cincinnati Dayton Rd, West Chester, OH 45069 | 2020-10-14 |
| 1407310832 | Holly N Retherford | Behavior Technician | 5900 West Chester Rd, Suite C, West Chester, OH 45069 | 2019-01-30 |
| 1669966933 | Caring Hearts Home Care, LLC. | Home Health | 8603 Cincinnati Columbus Rd., Ste. J, West Chester, OH 45069 | 2018-06-19 |
| 1538684972 | Elizabeth Stasser | Counselor | 5900 West Chester Road Suite C, West Chester, OH 45069 | 2017-08-07 |
| 1942720388 | All Caring Hospice Cincinnati Dayton, LLC | Hospice Care, Community Based | 8857 Cincinnati-dayton Road, Suite 101, West Chester, OH 45069 | 2017-06-27 |
| 1568991982 | Cassandra Jade Biltz | Speech-Language Pathologist | 8123 Mill Creek Cr, West Chester, OH 45069 | 2017-06-08 |
| 1316476732 | Christina Louise Kappen | Social Worker | 8904 Brookside Ave, West Chester, OH 45069 | 2017-06-08 |
| 1033644240 | Claire Stall | Pharmacist | 7675 Wellness Way Ste 100, West Chester, OH 45069 | 2017-04-25 |
| Find all providers in zip 45069 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1467051821 | Kelsey Nicole Weiss | Physician Assistant | 9025 Peacock Way Unit 206, West Chester, OH 45069-1659 | 2020-10-18 |
| 1932520996 | Kelli Lawrence | Physician Assistant | 8148 Princeton Glendale Rd, West Chester, OH 45069-5883 | 2013-12-18 |
| 1457416497 | Amy K Bernhard | Physician Assistant | 7759 University Drive, Suite C, West Chester, OH 45069-2505 | 2006-12-27 |
| 1023025749 | Teresa Michelle Peters | Physician Assistant | 1055 Andrew Dr., West Chester, PA 19380 | 2006-08-02 |
| 1528048667 | Jennifer L. Kelly-mccoy | Physician Assistant | 915 Old Fern Hill Rd Bldg B, Suite 201, West Chester, PA 19380-4269 | 2006-01-17 |
| 1568097533 | Jennifer Jue | Physician Assistant | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2020-03-10 |
| 1497309850 | Seamus Thomas Winters | Physician Assistant | 531 Maple Ave, West Chester, PA 19380-4416 | 2019-07-24 |
| 1083178990 | Molly Ann Partusch | Physician Assistant | 7589 Tylers Place Blvd, West Chester, OH 45069-6308 | 2019-01-24 |
| 1811470008 | Maria E Chouinard | Physician Assistant | 7589 Tylers Place Blvd, West Chester, OH 45069-6308 | 2018-09-13 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 45069 |
Please comment or provide details below to improve the information on IVAN R BENNETT.
| 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.