DAVID A BENNETT MD (NPI# 1598713463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598713463 |
Entity Type | Organization |
Organization Name | DAVID A BENNETT MD |
Practice Address |
34705 N Newport Hwy Chattaroy WA 99003-7711 |
Mailing Address |
Po Box 129 Elk WA 99009-0129 |
Practice Telephone | 5092922001 |
Practice Fax Number | 5092929744 |
Mailing Telephone | 5092922001 |
Mailing Fax Number | 5092929744 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DAVID A BENNETT (OWNER) |
Authorized Official Telephone | 5092922001 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
34705 N NEWPORT HWY |
City | CHATTAROY |
State | WA |
Zip Code | 99003-7711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316922792 | Victor S Stime | Dentist | 34705 N Newport Hwy, Riverside Dental Clinic, Chattaroy, WA 99003-7711 | 2005-12-08 |
1225087539 | David A Bennett | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-06 |
1912976838 | Nathan P Stime | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
1376512293 | Nathan P Stime Md Riverside Medical-dental Clinic | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700200011 | Stonewall Residential Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28921 N. River Estates, Chattaroy, WA 99003 | 2014-02-06 |
1578061180 | Amy Anne Surnock | Nurse Practitioner | 1450 San Pablo Street, Suite 5000, Los Angeles, CA 99003 | 2018-01-29 |
1902859895 | Jessica A. Blackwell | Nurse Practitioner | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2006-05-19 |
1669087367 | Village Health Telehealth Pllc | Clinic/Center | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2020-09-10 |
1164772018 | Kristi Alana Conley | Community Health Worker | 13011 E Deer Creek Rd, Chattaroy, WA 99003-7001 | 2012-09-18 |
1821472424 | Suzanna Toews | Social Worker | 35516 N Dunn Rd, Chattaroy, WA 99003-7726 | 2015-07-13 |
1982069290 | Landon Jay Rencher, D.d.s., P.l.l.c. | Dentist | 34705 N Newport Hwy Ste B, Chattaroy, WA 99003-7811 | 2015-12-31 |
1215229208 | Bretta Schmidt | Specialist | 34705 N Newport Hwy Ste C, Chattaroy, WA 99003-7811 | 2011-05-09 |
1598185423 | Barbara Bates | Pharmacist | 7102 E Big Meadows Rd, Chattaroy, WA 99003-8500 | 2014-04-17 |
1053895649 | Aspen Bowen | Massage Therapist | 36012 N Milan Elk Rd, Chattaroy, WA 99003-8610 | 2018-09-19 |
Find all providers in zip 99003 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225087539 | David A Bennett | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720498280 | Rainier Pediatrics, Inc | Pediatrics | 12904 94th Ave E, Puyallup, WA 98373-5538 | 2014-05-05 |
1568675544 | Robert Michael Lehman | Pediatrics | 1545 Nw 57th St, #522, Seattle, WA 98107-5643 | 2007-05-07 |
1134343676 | Michael Donlan | Pediatrics | 7103 N Skyline Dr, Spokane, WA 99208-6717 | 2007-04-13 |
1508927062 | David Alan Springer | Pediatrics | 4005 Wallingford Ave N, Seattle, WA 98103-8218 | 2006-12-12 |
1730247073 | Mohinder Singh Badyal | Pediatrics | 32124 1st Ave S, Ste100, Federal Way, WA 98003-5761 | 2006-12-05 |
1396813218 | Penny Russell Tronolone | Pediatrics | Echo Glen Children's Center, 33010 Se 99th St, Snoqualmie, WA 98065 | 2006-11-30 |
1164508792 | Deborah J Ayars | Pediatrics | 1901 S Union Ave Ste B1010, Tacoma, WA 98405-1801 | 2006-10-27 |
1922027168 | Tania Milad Matta | Pediatrics | 3950 Keene Road, West Richland, WA 99353 | 2006-07-19 |
1629025333 | Public Hospital District #1 of King County | Pediatrics | 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 | 2006-05-28 |
1861468720 | Gina Suzanne Sucato | Pediatrics | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2006-02-28 |
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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.