DR. CRAIG BENNETT (NPI# 1992743702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992743702 |
| Entity Type | Individual |
| Full Name | DR. CRAIG BENNETT |
| Credential | M.D. |
| Practice Address |
2200 Kernan Dr Baltimore MD 21207-6665 |
| Practice Telephone | 4104487112 |
| Practice Fax Number | 4104486296 |
| Mailing Telephone | 4104487112 |
| Mailing Fax Number | 4104486296 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | D0060491 | MD | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
D0060491 | MD | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
D0060491 | MD | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
D0060491 | MD | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
D0060491 | MD | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
D0060491 | MD | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
D0060491 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NPI | 1992743702 | 01 |
| MD | 402869400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295741445 | Craig Allen Bennett | Specialist/Technologist | 1500 N. Warner St. #1044, Tacoma, WA 98416 | 2006-07-31 |
| 1245268556 | Craig Randall Bennett | Orthopaedic Surgery | 1914 W Park Dr, N Wilkesboro, NC 28659-3563 | 2006-06-28 |
| 1760597827 | Craig Bennett | Social Worker | 93 Pond St, Sharon, MA 02067-2015 | 2006-08-20 |
| 1295763142 | Craig Bennett | Orthopaedic Surgery | 7544 Jacque Rd, Hudson, FL 34667 | 2006-06-29 |
| 1073571444 | Craig S Bennett | Family Medicine | 191 Theater Rd, Onalaska, WI 54650-8679 | 2006-05-03 |
| Street Address |
2200 KERNAN DR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21207-6665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202692 | Kernan Dentistry | Clinic/Center | 2200 Kernan Dr, Dental Suite T500, Baltimore, MD 21207-6665 | 2005-08-12 |
| 1881207868 | Neima Hinda Brody | Speech-Language Pathologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2020-08-28 |
| 1255982690 | Amy Olzmann | Clinical Neuropsychologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-09-26 |
| 1669036836 | Idowu Awolusi | Nurse Practitioner | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-04-23 |
| 1124583950 | Carolyn Kaye Gibson | Internal Medicine | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-02-06 |
| 1275097784 | Kayla Marie Stolins | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-29 |
| 1669936571 | Elizabeth Wells Bihn | Speech-Language Pathologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-24 |
| 1275007833 | Nikkie Dorsey | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-17 |
| 1104390905 | Allison Jean | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-15 |
| 1548734361 | Lauren Sirriannia | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1891328431 | Day-by-day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
| 1366005944 | Lacey Murphy | Social Worker | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
| 1811453368 | Pamela Powell | Social Worker | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
| 1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
| 1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
| 1922525252 | Passionate Hands Transitional Housing | Clinic/Center | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
| 1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
| 1255720439 | Dawn James | Counselor | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
| 1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
| Find all providers in zip 21207 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665262 | Johns Hopkins University | Orthopaedic Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
| 1811365828 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 2401 W Belvedere Ave, Suite 102-104, Baltimore, MD 21215-5216 | 2015-09-08 |
| 1285930404 | Allison Liefeld Fillar | Orthopaedic Surgery | 3333 N Calvert St, Jpb, Suite 400, Baltimore, MD 21218-2867 | 2011-02-05 |
| 1780818674 | Jonathan David Packer | Orthopaedic Surgery | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201-1642 | 2009-05-07 |
| 1306027263 | Chad C Zooker | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2007-11-20 |
| 1902005747 | Michael Jason Wallace | Orthopaedic Surgery | 3421 Benson Ave, Suite 100, Baltimore, MD 21227-1056 | 2007-07-12 |
| 1386851681 | Scott M Adams | Orthopaedic Surgery | 3421 Benson Ave, Suite 100, Baltimore, MD 21227-1056 | 2007-05-17 |
| 1033271697 | Jason Wilson Hammond | Orthopaedic Surgery | 3333 N Calvert St, Suite 400, Baltimore, MD 21218-2867 | 2006-12-13 |
| 1376532267 | Robert Riederman | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-14 |
| 1639167554 | David P Buchalter | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-13 |
| Find all providers in BALTIMORE | ||||
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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.