SEAN H BENNETT (NPI# 1144455023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144455023 |
| Entity Type | Individual |
| Full Name | SEAN H BENNETT |
| Credential | IDMT |
| Practice Address |
739 North Fork Highway Grant County Health Department Petersburg WV 26847-0608 |
| Mailing Address |
Po Box 608 Petersburg WV 26847-0608 |
| Practice Telephone | 3042574922 |
| Practice Fax Number | 3042572422 |
| Mailing Telephone | 3042574922 |
| Mailing Fax Number | 3042572422 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2012-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1679858781 | Sean J Bennett | Physical Therapist | 515 Minor Ave Ste 22, Seattle, WA 98104-2112 | 2011-10-20 |
| 1386148385 | Sean Bennett | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2018-03-23 |
| 1053843706 | Sean Bennett | Technician, Other | 32100 Telegraph Rd, Suite 185, Bingham Farms, MI 48025-2452 | 2017-03-31 |
| 1497299879 | Sean Bennett | Case Manager/Care Coordinator | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-12-05 |
| 1740644913 | Sean S Bennett | Psychiatry & Neurology | 42 Wright St, Palmer, MA 01069-1156 | 2016-04-13 |
| 1093173684 | Sean Bennett | Pharmacist | 1 Akron General Ave, Akron, OH 44307 | 2016-02-10 |
| 1730494568 | Sean Kevin Bennett | Social Worker | 113 Lielmanis Ave, 1somdos/sgow, Hurlburt Field, FL 32544-5613 | 2010-08-17 |
| Street Address |
739 NORTH FORK HIGHWAY GRANT COUNTY HEALTH DEPARTMENT |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-0608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043397110 | Grant County Board of Health | Public Health or Welfare | 739 North Fork Highway, Petersburg, WV 26847 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on SEAN H BENNETT.
| 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.