AUDREY K BENNETT (NPI# 1649499260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649499260 |
| Entity Type | Individual |
| Full Name | AUDREY K BENNETT |
| Credential | MD |
| Practice Address |
1320 W Main St Newark OH 43055-1822 |
| Practice Telephone | 2205644266 |
| Practice Fax Number | 2205644166 |
| Mailing Telephone | 2205644266 |
| Mailing Fax Number | 2205644166 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35.091696 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2848495 | 05 | |
| VA | 1649499260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659358 | Audrey Kutchukian Bennett | Occupational Therapist | Cary Health and Rehabilitation, 6590 Tryon Rd., Cary, NC 27518-7052 | 2019-03-21 |
| 1093824294 | Audrey L Bennett | Counselor | 100 Queen Street, Audrey Bennett Weave Your Life LLC., Southington, CT 06489-2052 | 2006-08-30 |
| 1629555040 | Audrey Bennett | Case Manager/Care Coordinator | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-07-27 |
| 1639523343 | Audrey Louise Bennett | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, D-3100 Medical Center North, Nashville, TN 37232-0014 | 2016-04-19 |
| 1386706869 | Audrey P Bennett | Social Worker | 30 Hempstead Ave, Suite 152, Rockville Centre, NY 11750 | 2006-12-14 |
| Street Address |
1320 W MAIN ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076898 | Jeff Bare | Emergency Medicine | 1320 W Main St, Newark, OH 43055-1822 | 2005-07-12 |
| 1538767116 | Amanda Kay Codlin | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-10-15 |
| 1053928101 | Andrea Sims | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-09-23 |
| 1376155630 | Jeanette Carpenter | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-08-18 |
| 1912521451 | Courtney Marie Adams | Nurse Anesthetist, Certified Registered | 1320 W Main St, Newark, OH 43055-1822 | 2020-06-01 |
| 1770105603 | Jason Sturgeon | Clinic/Center | 1320 W Main St, Newark, OH 43055-1822 | 2020-05-14 |
| 1376195248 | Rahel Gebeyehu Mitiku | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2019-07-11 |
| 1720544232 | Corey Salyer | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2019-02-20 |
| 1851860589 | Tabitha Gartner | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2018-11-26 |
| 1972010783 | Patricia Joan Liesen | Dietitian, Registered | 1320 W Main St, Newark, OH 43055-1822 | 2018-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1750499646 | Howayda A Moniem | Pathology | 495 N 13th Street, Columbus Hospital, Newark, NJ 07107-1397 | 2006-08-29 |
| 1053335976 | Xinlai Sun | Pathology | 201 Lyons Ave # L-4, Newark, NJ 07112-2027 | 2006-07-26 |
| 1851397392 | Leonard I Japko | Pathology | 4755 Ogletown Stanton Road, Newark, DE 19718-0001 | 2005-06-21 |
| 1184990624 | Steven Todd Kramer | Pathology | 4755 Ogletown Stanton Rd, Newark, DE 19718 | 2012-03-29 |
| 1023319332 | Jie-gen Jiang | Pathology | 150 Bergen Street, Newark, NJ 07103 | 2010-11-03 |
| 1720397250 | Ming Zhang | Pathology | 4755 Stanton Ogletown Road, Newark, DE 19718-0001 | 2010-10-01 |
| 1689991663 | Phoebe Jeanette Holmes | Pathology | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2010-04-29 |
| 1881854784 | Norman Ende | Pathology | 185 S Orange Ave, Room C-501, Newark, NJ 07103-2757 | 2008-06-13 |
| 1508025164 | Valerie A Fitzhugh | Pathology | 150 Bergen St, E156, Newark, NJ 07103-2496 | 2008-06-08 |
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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.