Ethan Bennett (NPI# 1285195339, PAC ID# 8527395474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285195339 |
| PAC ID by PECOS | 8527395474 |
| Professional Enrollment ID | I20190814004158 |
| Full Name | Ethan Bennett |
| Organization Legal Name | PARKVIEW HEALTH SYSTEM INC |
| Address |
11050 Parkview Circle Dr Fort Wayne IN 46845-1739 |
| Phone Number | 8337248326 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163336967 |
| Number of Group Practice Members | 832 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 8337248326 | PARKVIEW HEALTH SYSTEM INC |
| Organization Legal Name | PARKVIEW HEALTH SYSTEM INC |
| Physicians | 869 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Bassett | Nurse Practitioner | Parkview Health System Inc | 11141 Parkview Plaza Dr, Suite 200, Fort Wayne, IN 46845-1714 |
| Charles Jones | Nurse Practitioner | Parkview Health System Inc | 6130 Trier Rd, Fort Wayne, IN 46815-5378 |
| Eric Shoemaker | Family Medicine | Parkview Health System Inc | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1704 |
| Dustin M Thomas | Cardiovascular Disease (cardiology) | Parkview Health System Inc | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 |
| Michelle Johnson | Nurse Practitioner | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Regina Frederick | Nurse Practitioner | Parkview Health System Inc | 3816 New Vision Dr, Ppg Med/rehab, Fort Wayne, IN 46845-1708 |
| Brianna Abbott | Physician Assistant | Parkview Health System Inc | 2231 Carew St, Fort Wayne, IN 46805-4713 |
| Kelly Stewart Hutner | Psychologist, Clinical | Parkview Health System Inc | 11143 Parkview Plaza Dr, Fort Wayne, IN 46845-1727 |
| Braion Chapman | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Parkview Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Jason D Frampton | Sports Medicine | Parkview Health System Inc | 213 Fairview Blvd, Kendallville, IN 46755-2988 |
| Street Address |
11050 PARKVIEW CIRCLE DR |
| City | FORT WAYNE |
| State | IN |
| Zip | 46845-1739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Johnson | Nurse Practitioner | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Lauren M Kopicky | General Surgery | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Chetan Mittal | Gastroenterology | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Joseph William Mccollom | Hospice/palliative Care | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Paula Vnuk | Nurse Practitioner | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Tina Renee Kinsley | Dermatology | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Lauren Mcilrath | Nurse Practitioner | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Jody M Neer | Neurology | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Mariajose Rojas De Leon | Gastroenterology | Parkview Health System Inc | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy A Auld | Nurse Practitioner | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Karin L Mohs | Nurse Practitioner | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Justin Charles Reis | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Michael Mamdouh Makary | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Rakesh K Subramanian | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Georges Debal | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Simon Peter Crass | Gastroenterology | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Aaron Thomas Thornburg | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| David W Clark | Gastroenterology | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Wheeler John Dale | Pulmonary Disease | Parkview Health System Inc | 11104 Parkview Plaza Dr, Suite 410, Fort Wayne, IN 46845 |
| Find all physicians in zip 46845 | |||
| City | FORT WAYNE |
| Zip Code | 46845 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT WAYNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ethan 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.