CHARLES BENNETT IV (NPI# 1023435500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023435500 |
| Entity Type | Individual |
| Full Name | CHARLES BENNETT IV |
| Credential | AA-C |
| Practice Address |
110 Irving St Nw Washington DC 20010-3017 |
| Mailing Address |
1809 13th St Nw Apt 4 Washington DC 20009-4478 |
| Practice Telephone | 2028777000 |
| Mailing Telephone | 9046697385 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA000040 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487052577 | Charles Bennett | Registered Nurse | 3143 S Southwind Dr, Gilbert, AZ 85295-8334 | 2014-12-05 |
| 1225197577 | Charles Michael Bennett | Dentist | 812 S State St, Orem, UT 84097-7026 | 2006-12-06 |
| 1588756795 | Charles V. Bennett Jr. | Obstetrics & Gynecology | 126 Medical Dr., Suite A, Palestine, TX 75801 | 2006-09-28 |
| 1275540429 | Charles Eugene Bennett | Chiropractor | 1033 East 21st Street, Suite 101 Building 100, Wichita, KS 67206-3544 | 2006-08-01 |
| 1386614469 | Charles Williams Bennett | Family Medicine | 11845 Hg Trueman Rd, Lusby, MD 20657-2855 | 2006-01-23 |
| 1659373330 | Charles Nelson Bennett | Family Medicine | 301 S Palm Ave, Palatka, FL 32177-4143 | 2005-08-12 |
| 1821504143 | Charles Archie Bennett Jr. | Hearing Instrument Specialist | 158 S Main St, Woodstock, VA 22664-1423 | 2017-12-22 |
| 1386936193 | Charles Bennett | Pharmacist | 251 N Main St, Holly Springs, NC 27540-9194 | 2011-05-11 |
| 1407155112 | Charles Raul Bennett | Counselor | 720 W Court St Ste 8, Pasco, WA 99301-4178 | 2011-03-21 |
| 1548452915 | Charles William Bennett | Obstetrics & Gynecology | 30 N Church St, Suite 300, Wailuku, HI 96793-1600 | 2007-08-09 |
| Street Address |
110 IRVING ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567012 | Autumn C Graham | Emergency Medicine | 110 Irving St Nw, Washington, DC 20010-2976 | 2005-06-13 |
| 1730780891 | Elizabeth Ann Maggio | Occupational Therapist | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-11-05 |
| 1811597347 | Elissa Newman | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-26 |
| 1649879545 | Lisa Marie Shine | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-21 |
| 1629676002 | Tiffany Laura Weekes | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-16 |
| 1508463910 | Liane Okada | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1548867948 | Joseph Griffin Rebideaux | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1033716311 | Chi Wing Pang | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1023615333 | Theresa Howard | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1003423385 | Gladys Tombise Ekema | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136174 | Samuel Patrick Lind | Anesthesiologist Assistant | 2150 Pennsylvania Ave Nw Ste 10-407, Washington, DC 20037-3201 | 2020-02-16 |
| 1871059584 | Nancy Long | Anesthesiologist Assistant | 250 K St Ne Apt 606, Washington, DC 20002-8218 | 2019-02-18 |
| 1639653132 | Michael Diskin | Anesthesiologist Assistant | 110 Irving St Nw Ste G226, Washington, DC 20010-3017 | 2018-09-20 |
| 1346777273 | Ashleigh Dechow | Anesthesiologist Assistant | 110 Irving St Nw # G226, Washington, DC 20010-3017 | 2017-05-23 |
| 1659824738 | Kaitlin Jurcisin | Anesthesiologist Assistant | 1331 4th St Se Apt 1016, Washington, DC 20003-4479 | 2016-07-26 |
| 1801349956 | Jorjetta Ilieva | Anesthesiologist Assistant | 3401 38th St Nw, Apt 323, Washington, DC 20016-3037 | 2016-07-25 |
| 1821444373 | Jeffrey Bender | Anesthesiologist Assistant | 1150 Varnum St Ne Dept Of, Washington, DC 20017-2180 | 2016-05-13 |
| 1083223598 | Michael Mangiapani | Anesthesiologist Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-07-30 |
| 1164043535 | Connor Conti | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-04-27 |
| 1306475348 | Josiah Mcfarland | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-04-02 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.