DR. STACY KAIJA BENNETT


Address: 3024 New Bern Ave, Suite 304, Raleigh, NC 27610-1247
Phone: 9193507666

DR. STACY KAIJA BENNETT (NPI# 1447479076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447479076
Entity Type Individual
Full Name DR. STACY KAIJA BENNETT
Credential M.D.
Practice Address 3024 New Bern Ave
Suite 304
Raleigh
NC 27610-1247
Mailing Address 3024 New Bern Avenue
Suite 304
Raleigh
NC 27610-1247
Practice Telephone 9193507666
Mailing Telephone 9193507666
Enumeration Date 2007-04-24
Last Update Date 2012-11-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 2007-00658 NC Allopathic & Osteopathic Physicians

Other Providers STACY BENNETT

NPI Name Taxonomy Address Enumeration
1710301213 Stacy Bennett Speech-Language Pathologist 2186 Smoke Stone Cir, Marietta, GA 30062-6089 2014-02-05
1477869717 Stacy Shelton Bennett Speech-Language Pathologist 10608 Mountain Laurel Way, Union, KY 41091-9077 2010-08-24
1730786054 Stacy Marie Bennett Counselor 1314 N Lafitte Rd, Abbeville, LA 70510-3149 2020-10-08
1891259115 Stacy Bennett Case Manager/Care Coordinator 415 N 26th St Ste 201, Lafayette, IN 47904-2856 2019-01-31
1770061848 Stacy Bennett Physical Therapist 3935 Brian Jordan Pl Ste 119, High Point, NC 27265-8036 2018-08-01
1013419738 Stacy Bennett Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-03-08
1578866166 Stacy Lynn Bennett Physical Therapist 13201 Magisterial Dr, Louisville, KY 40223-4105 2010-12-21
1275733156 Stacy L Bennett Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2007-07-19

Office Location

Street Address 3024 NEW BERN AVE
SUITE 304
City RALEIGH
State NC
Zip Code 27610-1247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588664924 Lynn M Rebello Pediatrics 3024 New Bern Ave, Raleigh, NC 27610 2005-07-28
1275158206 Alejandro Ramirez Lopez Physician Assistant 3024 New Bern Ave, Raleigh, NC 27610-1247 2020-06-16
1588225759 Wakemed Specialists Group, LLC Preventive Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1821659079 Sharon Elizabeth Booth Physician Assistant 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1790343366 Wakemed Specialists Group LLC Pediatrics 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-30
1225693419 Wakemed Specialists Group LLC Surgery 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1720643927 Wakemed Specialists Group, LLC Otolaryngology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1649835836 Wakemed Specialists Group, LLC Internal Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1205491487 Wakemed Specialists Group LLC Urology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1639734817 Wakemed Specialists Group, LLC Nutritionist 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356601066 Stephanie Leigh Riggins Surgery 3024 New Bern Ave Fl 3, Raleigh, NC 27610 2012-05-29
1245515162 New Hope Wellness and Total Bariatric Care Surgery 9910 Strickland Rd, Suite 100, Raleigh, NC 27615-2083 2011-10-12
1356524086 Byron Keith Forgy Surgery 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 2007-12-17
1295936714 Matthew Alleman Surgery 3024 New Bern Ave Ste 304, Raleigh, NC 27610-1247 2007-05-31
1447340906 Amber L Allen Surgery 6733 Falls of Neuse Rd, Raleigh, NC 27615-5305 2006-10-13
1376636548 J Duncan Phillips Surgery 3024 New Bern Ave Suite 302, Raleigh, NC 27610 2006-10-02
1619991353 Albert S. Chang Surgery 4420 Lake Boone Trl Ste 100, Raleigh, NC 27607-7505 2006-07-26
1801866108 Uday S Kavde Surgery 3410 Six Forks Rd, Raleigh, NC 27609-7234 2006-01-26
1518945583 Christopher Roy Watters Surgery 1212 Cedarhurst Drive, Suite 102, Raleigh, NC 27609 2006-01-09
1265419931 William Tucker Cline Surgery 2800 Blue Ridge Blvd, Suite 201, Raleigh, NC 27607-6477 2005-12-23
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Competitor

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City RALEIGH
Zip Code 27610

Improve Information

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Dataset Information

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.

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