SUSAN BENNETT (NPI# 1265522015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265522015 |
| Entity Type | Individual |
| Full Name | SUSAN BENNETT |
| Credential | PA-C |
| Practice Address |
802 Jefferson Ave Scranton PA 18510-1038 |
| Practice Telephone | 5703467331 |
| Practice Fax Number | 5703460411 |
| Mailing Telephone | 5703467331 |
| Mailing Fax Number | 5703460411 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA001659L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043633605 | Susan Bennett | Physical Therapy Assistant | 2314 Forest Ave, Durango, CO 81301-4867 | 2014-01-31 |
| 1497184162 | Susan Bennett | Registered Nurse | 1265 Ravenshoe Way, Chico, CA 95973-9138 | 2013-11-04 |
| 1760816821 | Susan C Bennett | Licensed Vocational Nurse | 5109b W Enterprise St, North Charleston, SC 29405-4066 | 2013-08-26 |
| 1083991236 | Susan Leslie Bennett | Psychologist | 4700 Hale Pkwy Ste 380, Denver, CO 80220-4023 | 2011-11-15 |
| 1891076782 | Susan Raye Bennett | Counselor | 604 N Porter St, Seaford, DE 19973-2441 | 2011-09-06 |
| 1205139250 | Susan Bennett | Speech-Language Pathologist | 1030 W 33rd St, Erie, PA 16508-2508 | 2010-12-14 |
| 1578758223 | Susan Elizabeth Bennett | Counselor | 77 Mill St Ste 251, Westfield, MA 01085-5402 | 2007-09-06 |
| 1699968644 | Susan M Bennett | Social Worker | 1600 Osgood Street, Suite 3059, North Andover, MA 01845 | 2007-08-23 |
| 1649390386 | Susan G Bennett | Pharmacist | 8321 W Hammer Ln, Las Vegas, NV 89149-4606 | 2007-03-29 |
| 1972623510 | Susan Bennett | Psychologist | 4915 N Interstate Ave, Portland, OR 97217-3624 | 2007-03-29 |
| Street Address |
802 JEFFERSON AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315085 | John E Prior | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2005-06-08 |
| 1730559881 | Jennifer Balinas | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-10-01 |
| 1578932414 | Michael Eugene Boyd | Nurse Practitioner | 802 Jefferson Ave, Mcauley Bldg 4th Fl, Scranton, PA 18510-1038 | 2015-09-22 |
| 1720461866 | Daniel Reese Shust | Family Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-07-07 |
| 1043498512 | Kenneth H. Rudolph, M.d. | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2008-02-06 |
| 1801927694 | Pulmonary and Critical Care Specialists of Pennsylvania PC | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2007-03-07 |
| 1164590071 | Alexa Lee Beretski | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-11-30 |
| 1831289693 | Amy Ferranti | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-10-13 |
| 1346269578 | American Home Care Supply Company, Inc. | Durable Medical Equipment & Medical Supplies | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-07-19 |
| 1568493088 | Ralf W Van Der Sluis | Specialist | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972977379 | Casey Ann Vescovi | Physician Assistant | 327 North Washington Ave., Suite 200, Scranton, PA 18503-1535 | 2015-11-23 |
| 1396137659 | Kara Lynn Rempe | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503 | 2015-02-24 |
| 1316932312 | Jennifer Murray Aebli | Physician Assistant | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2005-09-15 |
| 1366060923 | Alexa Rae Matillano | Physician Assistant | 449 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2020-07-10 |
| 1356994313 | Chivon Demchak | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-07-18 |
| 1790253193 | Meghan Katherine Cawley | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503-1535 | 2018-11-05 |
| 1790261303 | Gabriella Maria Rossi | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2018-07-17 |
| 1639626849 | Samipkumar Patel | Physician Assistant | 1141 Moosic St Ste 3, Scranton, PA 18505-2105 | 2016-09-06 |
| 1942669262 | Georgia Ann Healey | Physician Assistant | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2016-02-15 |
| 1730559881 | Jennifer Balinas | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-10-01 |
| Find all providers in SCRANTON | ||||
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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.