LESLIE M BENNETT MD PC (NPI# 1346677291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346677291 |
| Entity Type | Organization |
| Organization Name | LESLIE M BENNETT MD PC |
| Practice Address |
12 E Bacon St Hillsdale MI 49242-1616 |
| Mailing Address |
2861 Lakeview Ct Po Box 821 Hillsdale MI 49242-9327 |
| Practice Telephone | 5174377040 |
| Practice Fax Number | 5174377617 |
| Mailing Telephone | 5174259274 |
| Mailing Fax Number | 5174377617 |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | DR. LESLIE M BENNETT (PRESIDENT) |
| Authorized Official Telephone | 5174259274 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
12 E BACON ST |
| City | HILLSDALE |
| State | MI |
| Zip Code | 49242-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902005762 | Ravi David Yarid | Neuromusculoskeletal Medicine & OMM | 12 E Bacon St, Suite 120, Hillsdale, MI 49242-1616 | 2007-07-12 |
| 1104284827 | Reanna Pickerign | Nurse Practitioner | 12 E Bacon St, Hillsdale, MI 49242-1616 | 2016-02-09 |
| 1871905091 | Sabrina Ruth Panich | Nurse Practitioner | 12 E Bacon St, Hillsdale, MI 49242-1616 | 2014-05-22 |
| 1053758748 | Ravi David Yarid Do Pllc | Family Medicine | 12 E Bacon St, Hillsdale, MI 49242-1616 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131235 | Jai Chamunda Hillsdale Inc | Pharmacy | 3271 W Carleton Road, Hillsdale, MI 49242 | 2019-12-17 |
| 1952953069 | Rachel Mccormack | Registered Nurse | 451 Hidden Meadows Dr Ste 220, Hillsdale, MI 49242 | 2019-07-10 |
| 1205359585 | Sarah Elizabeth Engle | Specialist/Technologist | 40 Morry St., Hillsdale, MI 49242 | 2017-07-19 |
| 1306399613 | Hillsdale College | Registered Nurse | 33 E. College St, Hillsdale, MI 49242 | 2016-08-03 |
| 1609251289 | Shirley Marie Depew | Licensed Practical Nurse | 13th Cronk Rd, Hillsdale, MI 49242 | 2015-07-24 |
| 1194127183 | Drews Care Management | Assisted Living Facility | 101 Village Green Boulevard, Hillsdale, MI 49242 | 2014-09-22 |
| 1871917385 | James E. Hubbell | Pharmacist | 196 W. Carleton, Hillsdale, MI 49242 | 2014-02-05 |
| 1598100216 | Ashley Reanna-jeanine Earl | Physical Therapy Assistant | 168 Hallet St, Hillsdale, MI 49242 | 2013-05-08 |
| 1174868350 | Alliance Dme | Durable Medical Equipment & Medical Supplies | 67 E Saint Joe St, Hillsdale, MI 49242 | 2012-11-29 |
| 1265740948 | Melissa Ann Wirebaugh | Respite Care | 47 East Saint Joe St, Hillsdale, MI 49242 | 2010-09-16 |
| Find all providers in zip 49242 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669991543 | Karen Lindower Do Pllc | Family Medicine | 451 Hidden Meadows Dr Ste 120, Hillsdale, MI 49242-9812 | 2017-09-12 |
| 1669576187 | Gary Steven Herring | Family Medicine | 131 Craig Rd, Hillsdale, NJ 07642-1054 | 2006-09-13 |
| 1073929089 | Ldk IIi Holdings, LLC | Family Medicine | 451 Hidden Meadows Dr, Suite 120, Hillsdale, MI 49242-9812 | 2014-07-10 |
| 1144634775 | Center for Family Health | Family Medicine | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2014-06-11 |
| 1053758748 | Ravi David Yarid Do Pllc | Family Medicine | 12 E Bacon St, Hillsdale, MI 49242-1616 | 2013-06-04 |
| 1316202575 | Seth N J Mallay | Family Medicine | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2012-07-12 |
| 1912239708 | Hillsdale Medical Associates, Plc | Family Medicine | 32 S Broad St, Hillsdale, MI 49242-1859 | 2010-02-04 |
| 1538271267 | Keith R. Baker | Family Medicine | 1456 Hudson Rd, Hillsdale, MI 49242-8314 | 2006-08-31 |
| 1598708638 | Robert Edward Schall | Family Medicine | 32 S Broad St, Hillsdale, MI 49242-1859 | 2006-06-14 |
| 1477551067 | Debra A Lusty | Family Medicine | 451 Hidden Meadows Dr, Suite, Hillsdale, MI 49242-9812 | 2005-07-08 |
| Find all providers in HILLSDALE | ||||
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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.