DR. ANITA BOYD BENNETT (NPI# 1598098881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598098881 |
| Entity Type | Individual |
| Full Name | DR. ANITA BOYD BENNETT |
| Credential | M.D. |
| Practice Address |
1249 Boulevard West Hartford CT 06119-1603 |
| Practice Telephone | 8602165442 |
| Mailing Telephone | 8602165442 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
044628 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE OF CT CONTROLLED SUBSTANCE REGISTRATION | CSP.0046239 | 01 |
| CT | DEA | FB1626451 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649806316 | Anita Bennett | Day Training/Habilitation Specialist | 44661 Sterling Hwy Ste A, Soldotna, AK 99669-7900 | 2020-03-13 |
| 1407004070 | Anita Bennett | Social Worker | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2008-09-08 |
| Street Address |
1249 BOULEVARD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251254 | Jennifer Lagosz Conboy | Family Medicine | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871067447 | Christina Marie Bolduc Falzone | Family Medicine | 35 Talcottville Rd Ste 1, Vernon, CT 06066-5261 | 2019-01-17 |
| 1760724165 | John Ordway Alden | Family Medicine | 20 Loeffler Rd, T521c, Bloomfield, CT 06002-2276 | 2013-03-23 |
| 1740329168 | Seymour Isaac Kummer | Family Medicine | 67 N Park St, Ellington, CT 06029-4135 | 2007-02-05 |
| 1225101991 | Syed Hyder Reza | Family Medicine | 345 Main Ave, Pmcc, Norwalk, CT 06851-1547 | 2006-11-17 |
| 1356433486 | Windsor Locks Medical Center, LLP | Family Medicine | 73 Old County Road, Windsor Locks, CT 06096 | 2006-09-28 |
| 1609982834 | Angelika Jovin | Family Medicine | 27 Commerce St, Clinton, CT 06413-2054 | 2006-08-21 |
| 1720014798 | James M. Perlotto | Family Medicine | 55 Lock St., New Haven, CT 06520-8237 | 2006-06-23 |
| 1184666430 | Alicja Jadwiga Harbut IIi | Family Medicine | 25 Clinton St, New Britain, CT 06053-3509 | 2006-06-12 |
| 1740265925 | Yogesh Kumar Katechia | Family Medicine | 2 Lathrop Ave, Norwich, CT 06360-2309 | 2005-12-11 |
| 1477068773 | Emily T Carter | Family Medicine | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-12-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on DR. ANITA BOYD 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.