MR. JOHN KELLY BENNETT (NPI# 1710137583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710137583 |
Entity Type | Individual |
Full Name | MR. JOHN KELLY BENNETT |
Credential | RT (R,CT) |
Practice Address |
1661 Kinsmere Dr Trinity FL 34655-4528 |
Practice Telephone | 7272365309 |
Mailing Telephone | 7272365309 |
Enumeration Date | 2008-09-29 |
Last Update Date | 2008-09-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
CRT52901 | FL | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386910495 | John Lawrence Bennett | Emergency Medicine | 459 Clarence St, Johnstown, PA 15905-1812 | 2012-03-23 |
1548598410 | John Gordon Bennett | Community Health Worker | 1200 West Ave, Suite 825, Miami Beach, FL 33139-4377 | 2009-12-03 |
1194052035 | John Arthur Bennett | Internal Medicine | 1835 County Line Rd, Villanova, PA 19085-1729 | 2009-11-13 |
1225292808 | John Keith Bennett | Physical Therapist | 7826 Stonewall Ct, Lincoln, NE 68506-4171 | 2008-07-14 |
1407033723 | John O. Bennett | Nurse Anesthetist, Certified Registered | 4104 Water Oak Pl, Virginia Beach, VA 23452-2124 | 2008-01-29 |
1639230642 | John Brian Bennett | Obstetrics & Gynecology | St Anthonys Medical Center, St Louis, MO 63128-2106 | 2006-12-13 |
1649353103 | John Calvin Bennett Sr. | Dentist | 100 Rice Mine Rd N Ste D, Tuscaloosa, AL 35406-2375 | 2006-10-20 |
1306857446 | John Dieter Bennett | Psychiatry & Neurology | 2600 N Stemmons Fwy, Suite 151, Dallas, TX 75207-2113 | 2006-08-11 |
1154341733 | John Allyn Bennett | Dentist | 1369 G St, Arcata, CA 95521-5820 | 2006-07-19 |
1215955513 | John Bennett | Psychologist | 8451 Point Douglas Road E, Cottage Grove, MN 55016 | 2006-07-17 |
Street Address |
1661 KINSMERE DR |
City | TRINITY |
State | FL |
Zip Code | 34655-4528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
Find all providers in zip 34655 |
Taxonomy Code | 2471C3401X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Computed Tomography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386150647 | Irina Weidman | Radiologic Technologist | 222 Los Prados Dr, Safety Harbor, FL 34695-3332 | 2017-12-22 |
1063882595 | Michael Notbohm | Radiologic Technologist | 6012 Yeats Manor Dr, Unit 102, Tampa, FL 33616-1444 | 2015-09-27 |
1174859482 | June Robin Kelly | Radiologic Technologist | 1509 Adams Cir E, Largo, FL 33771-6420 | 2009-10-20 |
1568693190 | Kathy J Davis | Radiologic Technologist | 5631 103rd Ter, Pinellas Park, FL 33782-2708 | 2009-07-30 |
1053341412 | Elie M Polissaint | Radiologic Technologist | 3630 William St, Lake Park, FL 33403-1634 | 2006-07-03 |
1194795658 | Southern Open Mri Inc | Radiologic Technologist | 289 Sw Stonegate Ter, Suite 102, Lake City, FL 32024-3456 | 2006-01-25 |
1659917375 | Edward Sherwood | Radiologic Technologist | 800 Meadows Rd, Boca Raton, FL 33486-2304 | 2019-11-18 |
1457586869 | Denice L Spencer | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2009-05-29 |
1689792202 | Margaret Louise Dees | Radiologic Technologist | 12037 Cortez Blvd, Brooksville, FL 34613-7349 | 2007-03-26 |
1700830890 | Tallahassee Diagnostic Imaging Ltd | Radiologic Technologist | 15 Council Moore Rd, Crawfordville, FL 32327-3117 | 2006-05-22 |
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.