DR. SUSAN ELIZABETH BENNETT (NPI# 1144211277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144211277 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ELIZABETH BENNETT |
| Credential | MD |
| Practice Address |
15 Parkman St Wacc 608 Boston MA 02114-3117 |
| Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
| Practice Telephone | 6177262370 |
| Practice Fax Number | 6177264495 |
| Mailing Telephone | 6177262370 |
| Mailing Fax Number | 6177264495 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2014-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 37245 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS MA | C04811 | 01 |
| MA | TUFTS HEALTH PLAN | 037245 | 01 |
| MA | 2074745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043633605 | Susan Bennett | Physical Therapy Assistant | 2314 Forest Ave, Durango, CO 81301-4867 | 2014-01-31 |
| 1497184162 | Susan Bennett | Registered Nurse | 1265 Ravenshoe Way, Chico, CA 95973-9138 | 2013-11-04 |
| 1760816821 | Susan C Bennett | Licensed Vocational Nurse | 5109b W Enterprise St, North Charleston, SC 29405-4066 | 2013-08-26 |
| 1083991236 | Susan Leslie Bennett | Psychologist | 4700 Hale Pkwy Ste 380, Denver, CO 80220-4023 | 2011-11-15 |
| 1891076782 | Susan Raye Bennett | Counselor | 604 N Porter St, Seaford, DE 19973-2441 | 2011-09-06 |
| 1205139250 | Susan Bennett | Speech-Language Pathologist | 1030 W 33rd St, Erie, PA 16508-2508 | 2010-12-14 |
| 1578758223 | Susan Elizabeth Bennett | Counselor | 77 Mill St Ste 251, Westfield, MA 01085-5402 | 2007-09-06 |
| 1699968644 | Susan M Bennett | Social Worker | 1600 Osgood Street, Suite 3059, North Andover, MA 01845 | 2007-08-23 |
| 1649390386 | Susan G Bennett | Pharmacist | 8321 W Hammer Ln, Las Vegas, NV 89149-4606 | 2007-03-29 |
| 1972623510 | Susan Bennett | Psychologist | 4915 N Interstate Ave, Portland, OR 97217-3624 | 2007-03-29 |
| Street Address |
15 PARKMAN ST WACC 608 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505402 | Mira Kautzky | Internal Medicine | 15 Parkman St, Suite 645, Wacc, Boston, MA 02114 | 2005-08-15 |
| 1528678646 | Lizabeth J Flash | Psychiatry & Neurology | 15 Parkman St, Boston, MA 02114-3117 | 2020-08-04 |
| 1710513726 | Travis Robert Hallett | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wacc-6-635, Boston, MA 02114 | 2020-03-21 |
| 1679118780 | Loren Hasse | Physical Medicine & Rehabilitation | 15 Parkman St, Boston, MA 02114-3117 | 2019-11-12 |
| 1891344354 | Wallace Leo Frigon Jr. | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-09-08 |
| 1447818539 | Catherine Moore | Registered Nurse | 15 Parkman St, Boston, MA 02114-3117 | 2019-06-03 |
| 1285197038 | Ashley Marie O'brien | Physical Therapist | 15 Parkman St, Wac 134, Boston, MA 02114-3117 | 2019-04-09 |
| 1386105302 | Ayana Robertson | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-03-31 |
| 1407315765 | Griffin Ayaz Tyree | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wang 812, Boston, MA 02114-3117 | 2019-03-17 |
| 1962987172 | Joshua Connor Torrey | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
| 1487291100 | Evolvd Health | Internal Medicine | 85 Brainerd Rd Apt 108, Boston, MA 02134-4529 | 2019-12-01 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
| 1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
| 1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
| 1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
| 1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
| 1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
| Find all providers in BOSTON | ||||
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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.