Kelly Bennington (NPI# 1679056188, PAC ID# 0446502397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679056188 |
| PAC ID by PECOS | 0446502397 |
| Professional Enrollment ID | I20181004001391 |
| Full Name | Kelly Bennington |
| Organization Legal Name | FAMILY PRACTICE ASSOCIATES OF SPRINGFIELD LLC |
| Address |
2701 Moorefield Rd Springfield OH 45502-8207 |
| Phone Number | 9373996650 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8820088149 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360086 | SPRINGFIELD REGIONAL MEDICAL CENTER |
| 360355 | OHIO VALLEY MEDICAL CENTER, LLC |
| Address | Phone | Organization |
|---|---|---|
| 2701 Moorefield Rd, Springfield, OH 45502-8207 | 9373996650 | FAMILY PRACTICE ASSOCIATES OF SPRINGFIELD LLC |
| Organization Legal Name | FAMILY PRACTICE ASSOCIATES OF SPRINGFIELD LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sally A Abbott | Family Medicine | Family Practice Associates of Springfield LLC | 2701 Moorefield Rd, Springfield, OH 45502-8207 |
| Street Address |
2701 MOOREFIELD RD |
| City | SPRINGFIELD |
| State | OH |
| Zip | 45502-8207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sally A Abbott | Family Medicine | Family Practice Associates of Springfield LLC | 2701 Moorefield Rd, Springfield, OH 45502-8207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Tomsic | Anesthesiology Assistant | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Edward C Cardinal | Anesthesiology Assistant | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Kim Weber | Anesthesiology | Mercy Anesthesiologists Inc | 100 W Main St, Oh Vlly Med Ctr, Springfield, OH 45502-1312 |
| Young R Park | Anesthesiology | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Thales N Pavlatos | Anesthesiology | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Kyle Kirby | Certified Registered Nurse Anesthetist (crna) | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Amie Beals | Physician Assistant | Springfield Orthopaedic and Sports Medicine Institute LLC | 140 W Main St, Suite 100, Springfield, OH 45502-1312 |
| Joseph P Mader | Anesthesiology Assistant | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Michael M Milam | Physician Assistant | Springfield Orthopaedic and Sports Medicine Institute LLC | 140 W Main St, Suite 100, Springfield, OH 45502-1312 |
| Cheryl A Whipp | Certified Registered Nurse Anesthetist (crna) | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Find all physicians in zip 45502 | |||
| City | SPRINGFIELD |
| Zip Code | 45502 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly Bennington.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.