DR. MICHAEL J BENNETT (NPI# 1598961922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598961922 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J BENNETT |
| Credential | PH.D. |
| Practice Address |
3400 Civic Center Blvd Arc Room 716g Philadelphia PA 19104-4306 |
| Practice Telephone | 2155903394 |
| Mailing Telephone | 2155903394 |
| Mailing Fax Number | 2155901998 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
25MS00011000 | NJ | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295370336 | Michael Bennett | Peer Specialist | 10624 S Choctaw Rd, Newalla, OK 74857-9315 | 2019-11-13 |
| 1316428006 | Michael Kenneth Bennett | Nutritionist | 1358 Leegate Rd Nw, Washington, DC 20012-1301 | 2018-08-22 |
| 1558780288 | Michael Bennett | Physical Therapy Assistant | 4235 Burlington Ave N, St Petersburg, FL 33713-8227 | 2014-04-09 |
| 1881010692 | Michael Bennett | Pharmacist | 31735 Riverside Dr, C-330, Lake Elsinore, CA 92530-7816 | 2014-03-17 |
| 1235304197 | Michael W Bennett | Dental Hygienist | 115 Willow Circle Dr, Loveland, CO 80537-7667 | 2008-04-22 |
| 1346458635 | Michael Jay Bennett | Psychiatry & Neurology | 11 Dunbarton Rd, Belmont, MA 02478-2458 | 2007-05-18 |
| 1629128616 | Michael J. Bennett | Physical Therapist | 1516 9th Ave, Altoona, PA 16602-2417 | 2007-01-11 |
| 1558454553 | Michael J Bennett | Optometrist | 9309 Glacier Hwy Ste A103, Juneau, AK 99801-9300 | 2006-10-02 |
| 1497780951 | Michael L Bennett | Chiropractor | 375 Ne 10th Ave, Crystal River, FL 34429 | 2006-07-12 |
| 1326073420 | Michael I Bennett | Psychiatry & Neurology | 241 Perkins St Unit B801, Jamaica Plain, MA 02130-4072 | 2006-07-11 |
| Street Address |
3400 CIVIC CENTER BLVD ARC ROOM 716G |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027727 | Joel D Glickman | Internal Medicine | 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 | 2005-07-18 |
| 1841891058 | Abigail Brooke Horowitz | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-11-04 |
| 1073129532 | Samuel Kovell | Physician Assistant | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-21 |
| 1306451695 | Farzad Nourollah-zadeh | Oral Medicinist | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-13 |
| 1609492917 | Mosetta Harris | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-06-23 |
| 1063032530 | Monique Maria Tee | Internal Medicine | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-24 |
| 1609495290 | Katharine Freeman Michel | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 | 2020-04-13 |
| 1609495498 | Taha Samir Ghouleh | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-11 |
| 1952930554 | Danielle Marie Lamarra | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-06 |
| 1982232658 | Jasmine Hwang | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184168379 | Farzana Shah | General Acute Care Hospital | 1613 Colima Rd, Philadelphia, PA 19115-4205 | 2016-12-07 |
| 1982915856 | St. Christopher's Hospital | General Acute Care Hospital | 136 N Bread St Apt 224, Philadelphia, PA 19106-1943 | 2010-06-25 |
| 1417188111 | Children's Hospital of Philadelphia | General Acute Care Hospital | 2300 Pine St Apt 4a, Philadelphia, PA 19103-6468 | 2009-07-30 |
| 1306090113 | Children's Hospital of Philadelphia | General Acute Care Hospital | 34th & Civic Center Bldvd, Philadelphia, PA 19104 | 2008-11-06 |
| 1780204362 | Perrie Lyn Epstein | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-23 |
| 1932729480 | Joseph Tran | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-23 |
| 1770102576 | Chad Alan Ross | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-11 |
| 1093252538 | Jacquelyn Russo | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2017-01-23 |
| 1043763311 | Sarah Limbach | General Acute Care Hospital | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-08-03 |
| 1053786731 | Kimberly Venella | General Acute Care Hospital | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2015-12-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on DR. MICHAEL J 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.