SONIA IBUKI BENNETT (NPI# 1265826192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265826192 |
| Entity Type | Individual |
| Full Name | SONIA IBUKI BENNETT |
| Credential | MD |
| Practice Address |
725 University Blvd Beavercreek OH 45324-2640 |
| Mailing Address |
800 Rose St Rm Mn-524 Lexington KY 40536-0293 |
| Practice Telephone | 9372457200 |
| Practice Fax Number | 9372457999 |
| Mailing Telephone | 8593231786 |
| Mailing Fax Number | 8592571078 |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
51071 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
725 UNIVERSITY BLVD |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45324-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794953 | Caleb Norton | Physical Therapist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2020-03-05 |
| 1346707379 | Bryan Michael Dooley | Physician Assistant | 725 University Blvd, Beavercreek, OH 45324-2640 | 2019-02-26 |
| 1336627041 | Wade Stewart Rice | Physical Therapist | 725 University Blvd, Beavercreek, OH 45324 | 2018-08-03 |
| 1568955300 | Elizabeth Joan Usedom | Dermatology | 725 University Blvd, Beavercreek, OH 45324-2640 | 2018-06-06 |
| 1649768334 | Accelerated Rehabilitation Centers Ltd | Occupational Therapist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2018-04-27 |
| 1174036008 | Brianna Lee Albers | Specialist/Technologist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-11-14 |
| 1932628617 | Eric William Bornholdt | Specialist/Technologist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-09-14 |
| 1174059109 | Patrick Veerkamp | Student in an Organized Health Care Education/Training Program | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-05-11 |
| 1063948438 | Clayton Douglas Conner | Student in an Organized Health Care Education/Training Program | 725 University Blvd, Beavercreek, OH 45324 | 2017-05-04 |
| 1801258397 | Keith Michael Reisinger-kindle | Obstetrics & Gynecology | 725 University Blvd, Beavercreek, OH 45324-2640 | 2016-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801907803 | David A Westbrock | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3820 | 2006-08-31 |
| 1497753925 | Paul Robert Glowienka | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3809 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161406 | Marsal Patient Care and Wellness, LLC | Internal Medicine | 225 E State Route 14 Ste 102, Columbiana, OH 44408-8490 | 2020-07-06 |
| 1891296562 | Mohammad Shalabe | Internal Medicine | 2100 W Central Ave Ste 200, Toledo, OH 43606-3817 | 2018-02-27 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1104224757 | Rossana Danese | Internal Medicine | 36321 Oakview Ln, Avon, OH 44011-2275 | 2014-12-15 |
| 1720493190 | Yuanjie Mao | Internal Medicine | 75 Hospital Dr Ste 200, Athens, OH 45701-2859 | 2014-06-24 |
| 1518398866 | Central Ohio Primary Care Physicians Inc | Internal Medicine | 570 Polaris Pkwy, 250, Westerville, OH 43082-7900 | 2013-12-11 |
| 1982035978 | Janice Douglas | Internal Medicine | 41 Haskell Dr, Bratenahl, OH 44108-1169 | 2013-12-02 |
| 1831531052 | Carmen Polanco Santos | Internal Medicine | 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 | 2013-07-30 |
| 1437599958 | Saira Varghese Mammen | Internal Medicine | 16761 Saint Clair Ave # 2, East Liverpool, OH 43920-9400 | 2013-06-28 |
| 1437410982 | Summa Physicians Inc. | Internal Medicine | 1 Park West Blvd Ste 350, Akron, OH 44320-4226 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45324 |
Please comment or provide details below to improve the information on SONIA IBUKI 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.