Kendel Nicole Bennett (NPI# 1912455205, PAC ID# 3870833056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912455205 |
| PAC ID by PECOS | 3870833056 |
| Professional Enrollment ID | I20190326001746 |
| Full Name | Kendel Nicole Bennett |
| Organization Legal Name | COLUMBIA LUTHERAN CHARITIES |
| Address |
2111 Exchange St Astoria OR 97103-3329 |
| Phone Number | 5033254321 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294643359 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381320 | COLUMBIA MEMORIAL HOSPITAL |
| 501314 | OCEAN BEACH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2095 Exchange St, Suite 301, Astoria, OR 97103-3400 | 5033384087 | COLUMBIA LUTHERAN CHARITIES |
| 2111 Exchange St, Astoria, OR 97103-3329 | 5033254321 | COLUMBIA LUTHERAN CHARITIES |
| Organization Legal Name | COLUMBIA LUTHERAN CHARITIES |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Nicolas Batty | Internal Medicine | Columbia Lutheran Charities | 1905 Exchange St, Astoria, OR 97103 |
| Grecori Anderson | Urology | Columbia Lutheran Charities | 2265 Exchange St, Astoria, OR 97103-3331 |
| Shannon S Schutt | Certified Registered Nurse Anesthetist (crna) | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Terry D Hollowell | Nurse Practitioner | Columbia Lutheran Charities | 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146-7308 |
| Michael Ammon Murdock | Podiatry | Columbia Lutheran Charities | 2265 Exchange St, Astoria, OR 97103-3331 |
| Erik D Williams | Certified Registered Nurse Anesthetist (crna) | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Carin Kay Pluedeman | Family Medicine | Columbia Lutheran Charities | 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146-7308 |
| Shannon Berry | Emergency Medicine | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Terri L Miller | Nurse Practitioner | Columbia Lutheran Charities | 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146-7308 |
| Susan Grace Sims | Nurse Practitioner | Columbia Lutheran Charities | 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146-7308 |
| Street Address |
2111 EXCHANGE ST |
| City | ASTORIA |
| State | OR |
| Zip | 97103-3329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon S Schutt | Certified Registered Nurse Anesthetist (crna) | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Erik D Williams | Certified Registered Nurse Anesthetist (crna) | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Shannon Berry | Emergency Medicine | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Houman Sabahi | Diagnostic Radiology | Pacific Coast Imaging LLC | 2111 Exchange St, Astoria, OR 97103-3329 |
| Ramandeep Sidhu | Hospitalist | Apogee Medical Group PC | 2111 Exchange St, Astoria, OR 97103-3329 |
| Stephanie Y Robinson | Certified Registered Nurse Anesthetist (crna) | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Mark B Titcomb | Certified Registered Nurse Anesthetist (crna) | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Ali Batouli | Diagnostic Radiology | Pacific Coast Imaging LLC | 2111 Exchange St, Astoria, OR 97103-3329 |
| Amrita A Desai | Hematology/oncology | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Eileen O'sullivan | Emergency Medicine | Columbia Lutheran Charities | 2111 Exchange St, Astoria, OR 97103-3329 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Nicolas Batty | Internal Medicine | Columbia Lutheran Charities | 1905 Exchange St, Astoria, OR 97103 |
| Kelley Crusius | Nurse Practitioner | Columbia Lutheran Charities | 1905 Exchange St, Astoria, OR 97103 |
| Jeanette M Johnson | Clinical Social Worker | 3990 Abbey Ln, Suite 109, Astoria, OR 97103-2237 | |
| Kimberly S Eltzroth | Obstetrics/gynecology | 441 30th St, Suite A, Astoria, OR 97103-2807 | |
| Barry K Sears | Chiropractic | 2935 Marine Dr, Suite B, Astoria, OR 97103-2831 | |
| Andrew Chin | Physician Assistant | Yakima Valley Farm Workers Clinic | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 |
| Diana B Rinkevich | Cardiovascular Disease (cardiology) | Columbia Lutheran Charities | 2158 Exchange St, Astoria, OR 97103-3316 |
| Rachel Lee Flescher | Physician Assistant | Columbia Lutheran Charities | 2158 Exchange St, Astoria, OR 97103-3316 |
| Mary E Rizzo | Nurse Practitioner | Columbia Lutheran Charities | 2158 Exchange St, Astoria, OR 97103-3316 |
| Anisa M Richardson | Family Medicine | Columbia Lutheran Charities | 2158 Exchange St, Astoria, OR 97103-3316 |
| Find all physicians in zip 97103 | |||
| City | ASTORIA |
| Zip Code | 97103 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ASTORIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kendel Nicole Bennett.
| 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.