DR. MATTHEW THOMAS BENNETT (NPI# 1831118199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831118199 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW THOMAS BENNETT |
| Credential | M.D. |
| Practice Address |
52 Harrison St 2nd Fl Johnson City NY 13790-2120 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905-1048 |
| Practice Telephone | 6077487468 |
| Practice Fax Number | 6077546130 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 230023 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP | 385812 | 01 |
| NY | 02655714 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144497306 | Matthew Bennett | Counselor | 701 E Santa Clara St Ste 28d, Ventura, CA 93001-5960 | 2008-05-15 |
| 1316149792 | Matthew Scott Bennett | Psychologist | 1701 Burnt Boat Dr Fl 2, Bismarck, ND 58503-0812 | 2007-06-05 |
| 1144205899 | Matthew P Bennett | Anesthesiology | 2804 Dr John Haynes Dr, Pell City, AL 35125-1438 | 2005-12-14 |
| 1497282529 | Matthew Lee Bennett | Physical Therapist | 3915 Golden Valley Rd, Minneapolis, MN 55422-4249 | 2017-05-19 |
| 1578096996 | Matthew Bennett | Chiropractor | 1178 Fremont Ct, Elkhart, IN 46516-9321 | 2017-04-04 |
| 1184173429 | Matthew E Bennett | Physician Assistant | 89 W Copeland Dr Fl 2, Orlando, FL 32806 | 2016-09-28 |
| 1639583271 | Matthew Bennett | Physical Therapist | 6818 Austin Center Blvd Ste 111, Austin, TX 78731-3199 | 2014-06-11 |
| 1376955971 | Matthew Ray Bennett | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-05-30 |
| 1043579600 | Matthew Evans Bennett | Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2012-05-16 |
| Street Address |
52 HARRISON ST 2ND FL |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735561 | Michael Chisdak | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2005-07-28 |
| 1467004945 | Olesya Craven | Specialist/Technologist, Other | 52 Harrison St, Johnson City, NY 13790-2120 | 2019-07-15 |
| 1417323999 | Jared M Pado | Nurse Practitioner | 52 Harrison St, Fl 2, Johnson City, NY 13790-2120 | 2015-08-19 |
| 1174955090 | Ellen Patricia Reynolds | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2013-08-01 |
| 1063763357 | Erin Meyer | Pharmacist | 52 Harrison St, Johnson City, NY 13790-2120 | 2012-09-26 |
| 1821392663 | United Health Services Hospitals Inc | Pharmacy | 52 Harrison St, Johnson City, NY 13790-2120 | 2011-01-10 |
| 1336378835 | Cathleen J Baynar | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2009-07-07 |
| 1861659351 | Muhammad I Ali | Internal Medicine | 52 Harrison St, Suite 1, Johnson City, NY 13790-2120 | 2008-05-21 |
| 1083736896 | Erika K. Armstrong | Physician Assistant | 52 Harrison St, Johnson City, NY 13790 | 2007-04-04 |
| 1841303070 | Southern Tier Pulmonary & Critical Care Medicine LLC | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043421779 | Timothy Douglas Jenkins | Orthopaedic Surgery | 2410 Susannah Street, Johnson City, TN 37601 | 2007-05-24 |
| 1457577736 | Ted Ford Sykes | Orthopaedic Surgery | 1602 Seward Dr, Johnson City, TN 37604-7144 | 2007-04-17 |
| 1689744526 | Orest Myroslav Wasyliw | Orthopaedic Surgery | 441 Riverside Drive, Johnson City, NY 13790-2711 | 2006-11-08 |
| 1053378273 | David R Hardin | Orthopaedic Surgery | 111 Pine Ct, Johnson City, TN 37601-5357 | 2006-05-01 |
| 1346223948 | Joseph R Hurst | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2005-11-28 |
| 1245740422 | Blakeley Elizabeth Burleson | Orthopaedic Surgery | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2017-10-02 |
| 1437565074 | Alan J Aiken | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2014-07-03 |
| 1891041489 | Scott R Macdonald | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2012-08-01 |
| 1912260654 | Dustin Michael Price | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-06-18 |
| 1326307687 | Thomas W Gill Jr. | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601 | 2012-05-08 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.