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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 2007-00658 | NC | Allopathic & Osteopathic Physicians |
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 |
Street Address |
3024 NEW BERN AVE SUITE 304 |
City | RALEIGH |
State | NC |
Zip Code | 27610-1247 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 27610 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
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. |
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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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.