DR. SEAN ROBERT BENNETT (NPI# 1205480753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205480753 |
| Entity Type | Individual |
| Full Name | DR. SEAN ROBERT BENNETT |
| Credential | MD PHD |
| Practice Address |
433 Ednam Drive Charlottesville VA 22903 |
| Practice Telephone | 6032362258 |
| Mailing Telephone | 6032362258 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1100X |
Clinic/Center Specialization: Research |
0101240200 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICAL LICENSE | 0101242200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1144455023 | Sean H Bennett | Military Health Care Provider | 739 North Fork Highway, Grant County Health Department, Petersburg, WV 26847-0608 | 2009-05-21 |
| Street Address |
433 EDNAM DRIVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| 1376829184 | Traci L. Mahoney | Physician Assistant | 545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 | 2011-10-25 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 261QR1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Research |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982000634 | Virginia Research Center, LLC | Clinic/Center | 13911 St Francis Blvd, Suite 101, Midlothian, VA 23114-3256 | 2014-11-07 |
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on DR. SEAN ROBERT 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.