KIMBERLY ANN MCBENNETT (NPI# 1144205592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144205592 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN MCBENNETT |
| Credential | MD |
| Practice Address |
11100 Euclid Ave Cleveland OH 44106-1716 |
| Mailing Address |
20800 Harvard Rd 2nd Flr Highland Hills OH 44122-7202 |
| Practice Telephone | 2168447700 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2015-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-082661 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
35-082661 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | IMCA - MEDICARE GROUP # | 3600271 | 01 |
| OH | IMCA - MEDICAID GROUP # | 0454744 | 01 |
| OK | AGMC (IMCA) MEDICARE TYPE 2 NPI # | 1821035940 | 01 |
| OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # | 1841239274 | 01 |
| OH | 2579320 | 05 |
| Street Address |
11100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770602153 | Samiya Razvi | Pediatrics | 9500 Euclid Ave # A120, Children's Hospital At Cleveland Clinic, Cleveland, OH 44195-0001 | 2007-03-28 |
| 1861783680 | Benjamin David Goldstein | Pediatrics | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106 | 2011-04-27 |
| 1487978938 | Erica Ann Roesch | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2010-03-25 |
| 1790897213 | Robert C Stern | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-08-31 |
| 1861414252 | Carol L Rosen | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-24 |
| 1134149107 | John C Carl | Pediatrics | 9500 Euclid Ave, A-120, Cleveland, OH 44195-0001 | 2006-07-20 |
| 1568482537 | Michael W Konstan | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-20 |
| 1508886573 | Pamela B Davis | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-20 |
| 1427078443 | Meeghan A Hart | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-20 |
| 1699795682 | Daniel I Craven | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-20 |
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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.