JONATHAN DAVID BENNETT (NPI# 1619238201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619238201 |
| Entity Type | Individual |
| Full Name | JONATHAN DAVID BENNETT |
| Credential | M.D. |
| Practice Address |
417 N 11th St Richmond VA 23298-5002 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8048287748 |
| Practice Fax Number | 8048270285 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101263870 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2035 Waterside Rd, Prince George, VA 238751265 | 8049576287 | 8048270285 |
| 1250 E Marshall St, Surg: General, Richmond, VA 232985051 | 8048287748 | 8048270285 |
| 9109 Stony Point Dr, Richmond, VA 232351979 | 8048278000 | 8048270285 |
| 11958 W Broad St, Henrico, VA 232331007 | 8043644669 | 8048270285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479171 | Jonathan James Bennett | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-15 |
| 1821572140 | Jonathan Antonio Bennett Jr. | Counselor | 110 Ye Olde Kings Hwy, North Myrtle Beach, SC 29582-4384 | 2018-09-21 |
| 1588152813 | Jonathan Richard Bennett | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-04-23 |
| 1881017572 | Jonathan Bennett | Counselor | 2210 Clay St, San Francisco, CA 94115-1930 | 2014-01-31 |
| 1659504645 | Jonathan Lee Bennett | Nurse Anesthetist, Certified Registered | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2009-08-25 |
| 1073734794 | Jonathan Christopher Bennett | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2007-05-01 |
| 1639260904 | Jonathan E. Bennett | Emergency Medicine | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| 1497850325 | Jonathan Ian Bennett | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2006-09-14 |
| 1740228501 | Jonathan C Bennett | Nurse Anesthetist, Certified Registered | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2006-06-03 |
| Street Address |
417 N 11TH ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601522 | Denise Louise Borden | Internal Medicine | 417 N 11th St, Box 980447, Richmond, VA 23298-0447 | 2005-06-28 |
| 1346853439 | Lauren Harrow | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5024 | 2020-08-28 |
| 1790328623 | Tiffany Everett | Physician Assistant | 417 N 11th St, Richmond, VA 23298-5002 | 2019-10-23 |
| 1538726963 | Jamie Carlton | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5002 | 2019-05-21 |
| 1538724935 | Dean Michael Leonard | Student in an Organized Health Care Education/Training Program | 417 N 11th St, Richmond, VA 23298-5002 | 2019-05-01 |
| 1689130882 | Hailey Elizabeth Spinapont | Physician Assistant | 417 N 11th St, Richmond, VA 23298 | 2019-02-13 |
| 1669945663 | Jill S Storment | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5002 | 2019-01-02 |
| 1568934370 | Katherine Gilliam Houston | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298 | 2018-12-19 |
| 1154891372 | Caitlin Anne Mcmanus | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5002 | 2018-11-30 |
| 1336628551 | Tilahun Mekonnen Goshu | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| 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 |
|---|---|---|---|---|
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1952668667 | Catalina Mosquera | Surgery | Vcuhs Dept of General Surgery/ Surgical Oncology, 1250 E. Marshall Street, Richmond, VA 23298 | 2012-04-19 |
| 1700151586 | Manikoth G Kurup | Surgery | 126 Lindenhurst, Richmond, VA 23238-6163 | 2012-03-13 |
| 1467725564 | James Ryland Darden Jr. | Surgery | 9960 Mayland Dr, Richmond, VA 23233-1485 | 2012-02-21 |
| 1487922183 | Bon Secours-virginia Healthsource Inc | Surgery | 5855 Bremo Rd Ste 506, Richmond, VA 23226-1925 | 2011-12-08 |
| 1790075570 | Sylvester N Osayi | Surgery | 1050 Reid Parkway, Suite 120, General Surgeons, Richmond, IN 47374-1156 | 2011-04-13 |
| 1720383953 | Wyatt Sanford Beazley IIi | Surgery | 2320 Monument Avenue, Richmond, VA 23220-2604 | 2011-01-19 |
| 1881823821 | Peter E Miller | Surgery | 7605 Forest Ave Ste 308, Richmond, VA 23229-4939 | 2009-07-13 |
| 1447417480 | Silas Mbasera Chikunguwo | Surgery | 3406 Bartley Pond Pl, Surgery, Richmond, VA 23233-1465 | 2008-05-19 |
| 1598969180 | Terrell Ann Singleton | Surgery | 5418 W. Grand Parkway South, Suite C, Richmond, TX 77406-5824 | 2007-06-14 |
| Find all providers in RICHMOND | ||||
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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.