MR. RICHARD OLIVER BENNETT (NPI# 1669777009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669777009 |
| Entity Type | Individual |
| Full Name | MR. RICHARD OLIVER BENNETT |
| Credential | RPA-C |
| Practice Address |
2 Ellis Ct Coram NY 11727-1473 |
| Mailing Address |
1745 Union Blvd Bay Shore NY 11706-7952 |
| Practice Telephone | 9178378213 |
| Mailing Telephone | 6313285560 |
| Mailing Fax Number | 6313285559 |
| Enumeration Date | 2011-01-16 |
| Last Update Date | 2017-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
23-014569 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
| 1851618904 | Richard Dean Bennett | Registered Nurse | 926 W Tioga St, Allentown, PA 18103-4961 | 2010-04-29 |
| 1538295068 | Richard Bennett | Physical Therapist | 2108 Jeremy Cir, Sherman, TX 75092-3036 | 2007-02-26 |
| 1699834796 | Richard Leroy Bennett Jr. | Pediatrics | 1510 North 28th Street, Suite 207, Richmond, VA 23223 | 2006-12-06 |
| 1306958467 | Richard G Bennett Jr. | Dentist | 1200 Sherwood Park Dr Ne, Gainesville, GA 30501 | 2006-08-31 |
| 1801894431 | Richard Alan Bennett | Obstetrics & Gynecology | 437 E Main St, Gallatin, TN 37066-2982 | 2005-07-08 |
| 1205304466 | Richard Craig Bennett | Registered Nurse | 505 E North Foothills Dr, Spokane, WA 99207-2101 | 2018-11-06 |
| 1427415322 | Richard Bennett Jr. | Counselor | 2640 Pitkin Ave, Brooklyn, NY 11208-2629 | 2016-01-22 |
| 1699112185 | Richard J Bennett | Anesthesiology | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2013-05-24 |
| Street Address |
2 ELLIS CT |
| City | CORAM |
| State | NY |
| Zip Code | 11727-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891490 | Ocean Acupuncture PC | Acupuncturist | 1970-6, Coram, NY 11727 | 2020-05-04 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1427604206 | Embrace Your Energy, LLC | Specialist/Technologist | 300 Wincoram Way, Coram, NY 11727 | 2019-08-16 |
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1093219636 | James Brian Rochford Jr. | Social Worker | 1980 Ny Route 112, Coram, NY 11727 | 2018-03-20 |
| 1902324502 | Shanell Lovette Woodley | Registered Nurse | Country Club Drive, Apt 10 D, Coram, NY 11727 | 2017-09-03 |
| 1730606377 | Emani, Inc. | Respite Care | 5 Hagen Ct., Coram, NY 11727 | 2017-08-24 |
| 1124553292 | Zhimin Lin | Dentist | 1879 Ny-112, Coram, NY 11727 | 2017-04-26 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1194271486 | Kimberly Kowalczyk | Psychologist | 28 Hawkins Path, Coram, NY 11727 | 2016-08-28 |
| Find all providers in zip 11727 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528476082 | Guy-philippe Beauzile | Physician Assistant | 266 Middle Country Rd, Coram, NY 11727-4425 | 2014-07-29 |
| 1962524892 | Natalya Laskina | Physician Assistant | 266 Middle Country Rd, Coram, NY 11727-4425 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.