JEFFREY BENNETT (NPI# 1245349620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245349620 |
| Entity Type | Individual |
| Full Name | JEFFREY BENNETT |
| Credential | MD |
| Practice Address |
12700 E 19th Ave Po Box B182 Aurora CO 80045-2560 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 3037246450 |
| Practice Fax Number | 3037244329 |
| Mailing Telephone | 3034937300 |
| Mailing Fax Number | 3034937202 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
33654 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01336544 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588094346 | Jeffrey Bennett | Counselor | 3210 E 44th Ave, Apartment K-106, Spokane, WA 99223-7709 | 2013-11-14 |
| 1124462924 | Jeffrey Paul Bennett | Dentist | 9115 45th Ave Ne, Seattle, WA 98115 | 2013-04-23 |
| 1003149444 | Jeffrey R Bennett Jr. | Physical Therapist | 506 E Southway Blvd, Kokomo, IN 46902 | 2009-09-17 |
| 1578563839 | Jeffrey E Bennett | Pediatrics | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2005-07-28 |
| 1811472418 | Jeffrey Scott Bennett | Counselor | 2029 Buchanan St, North Kansas City, MO 64116-3405 | 2018-09-28 |
| 1730575648 | Jeffrey Bennett | Physical Therapist | 533 S Middleton Rd, Ste 100, Middleton, ID 83644-6013 | 2015-04-08 |
| 1740675909 | Jeffrey S Bennett | Pediatrics | 700 Children's Drive, Nationwide Children's Hospital, Columbus, OH 43205 | 2015-04-03 |
| 1043581754 | Jeffrey Bennett | Specialist/Technologist | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2012-01-26 |
| 1831481837 | Jeffrey A Bennett | Pharmacist | 8101 Fayetteville Rd, Raleigh, NC 27603-5635 | 2011-05-09 |
| 1477684371 | Jeffrey K Bennett | Counselor | 1060 Glensboro Rd, Lawrenceburg, KY 40342-9033 | 2007-03-09 |
| Street Address |
12700 E 19TH AVE PO BOX B182 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649218124 | Monika M Nuffer | Pharmacist | 12700 E 19th Ave, Aurora, CO 80045-2560 | 2006-06-04 |
| 1194335927 | Sarah E Clark | Technician | 12700 E 19th Ave, Aurora, CO 80045-2560 | 2020-08-06 |
| 1033660204 | Jessica Erin Scharein | Nurse Practitioner | 12700 E 19th Ave, Aurora, CO 80045-2560 | 2016-10-21 |
| 1770039554 | Darcy O'banion | Clinical Nurse Specialist | 12700 E 19th Ave, Aurora, CO 80045-2560 | 2016-08-31 |
| 1780038638 | Kristen Roberson | Student in an Organized Health Care Education/Training Program | 12700 E 19th Ave, Aurora, CO 80045-2560 | 2016-04-18 |
| 1811351588 | Derian Lai | Internal Medicine | 12700 E 19th Ave, Aurora, CO 80045-2560 | 2016-04-08 |
| 1568859528 | Joseph Cooley | Internal Medicine | 12700 E 19th Ave, Ste C272, Aurora, CO 80045-2563 | 2015-04-16 |
| 1730324823 | University of Colorado Denver | General Acute Care Hospital | 12700 E 19th Ave, Aurora, CO 80045-2507 | 2008-12-04 |
| 1760686240 | Yael Aschner | Internal Medicine | 12700 E 19th Ave, Research 2, Box C272, 9th Floor, Aurora, CO 80045-2560 | 2007-06-11 |
| 1942385695 | Eva Grayck | Pediatrics | 12700 E 19th Ave, Aurora, CO 80045-2560 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386088268 | Ang Li | Psychiatry & Neurology | 1400 S Potomac St Ste 250, Aurora, CO 80012-4541 | 2013-04-23 |
| 1891858270 | Vera Fridman | Psychiatry & Neurology | 1635 Aurora Ct Fl 4, Aurora, CO 80045-2541 | 2006-12-18 |
| 1376612630 | Muhammad Y Siddiq Sc | Psychiatry & Neurology | 1177 N Highland Ave Ste 106, Aurora, IL 60506-2200 | 2006-11-08 |
| 1831102250 | Francis Fitzgerald Keating | Psychiatry & Neurology | 75 Executive Dr Ste 309, Aurora, IL 60504-8152 | 2006-08-15 |
| 1649236191 | Simon Chin Oh | Psychiatry & Neurology | 1444 S. Potomac St, #280, Aurora, CO 80012-4509 | 2006-04-25 |
| 1336792043 | University Physicians Incorporated | Psychiatry & Neurology | 12469 E 17th Pl Bldg 400, Aurora, CO 80045-2521 | 2019-07-22 |
| 1740742469 | Alexander Joshua Rajic | Psychiatry & Neurology | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2019-04-02 |
| 1508397183 | Brent Morel | Psychiatry & Neurology | 13001 E 17th Pl, University of Colorado School of Medicine Gme, Aurora, CO 80045 | 2017-03-24 |
| 1073964847 | Baber Khan | Psychiatry & Neurology | 1635 Aurora Ct Fl 4, Aurora, CO 80045-2541 | 2016-06-23 |
| 1598113300 | Kyle Jacob Coleman | Psychiatry & Neurology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2016-06-02 |
| Find all providers in AURORA | ||||
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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.