DR. JASON B. BENNETT (NPI# 1295757631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295757631 |
| Entity Type | Individual |
| Full Name | DR. JASON B. BENNETT |
| Credential | M.D. |
| Practice Address |
6745 Fulton St E Ste 101 Ada MI 49301-8107 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 6166852150 |
| Practice Fax Number | 2317247812 |
| Mailing Telephone | 2317275211 |
| Mailing Fax Number | 2317274571 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
4301076635 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4619667 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 Midtowne Stret Ne, Suite 450, Grand Rapids, MI 495035732 | 6165881800 | 6165881850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895485 | Jason Anthony Bennett | Registered Nurse | 708 Baylor Blvd, Big Spring, TX 79720-3420 | 2020-03-11 |
| 1528576485 | Jason Bennett | Student in an Organized Health Care Education/Training Program | 2508 Rush Lake Rd, Pinckney, MI 48169-8532 | 2018-01-12 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| 1346211208 | Jason H Bennett | Psychiatry & Neurology | 9404 Genesee Ave, Ste. 335, La Jolla, CA 92037-1339 | 2006-01-30 |
| 1215575444 | Jason Mark Bennett | Registered Nurse | 301 Prospect Ave, Syracuse, NY 13203-1899 | 2019-12-18 |
| 1598208357 | Jason Bennett | Rehabilitation Hospital | 8070 W Russell Rd, 1092, Las Vegas, NV 89113-1549 | 2016-11-28 |
| 1154685394 | Jason Bennett | Social Worker | 195 Miles St, Athens, GA 30601-1820 | 2012-07-03 |
| 1699921106 | Jason Bennett | Orthopaedic Surgery | 1250 E Michigan Ave, Grayling, MI 49738-7074 | 2008-08-15 |
| 1336320258 | Jason D Bennett | Speech-Language Pathologist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2007-11-19 |
| 1609987650 | Jason Eugene Bennett | Physical Therapist | 3437 Caroline St, Saint Louis, MO 63104-1111 | 2006-08-31 |
| Street Address |
6745 FULTON ST E STE 101 |
| City | ADA |
| State | MI |
| Zip Code | 49301-8107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| Find all providers in zip 49301 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095278 | Todd A Moyer-brailean | Obstetrics & Gynecology | 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | 2006-03-07 |
| 1295718138 | Roger Dennis Beyer | Obstetrics & Gynecology | 7110 Stadium Dr, Kalamazoo, MI 49009-9423 | 2005-11-23 |
| 1194299339 | Rebeccah Briskin | Obstetrics & Gynecology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-01-21 |
| 1295153062 | Barbara Rogers | Obstetrics & Gynecology | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2014-03-31 |
| 1417216896 | Emily English | Obstetrics & Gynecology | 4055 Cascade Rd Se, Grand Rapids, MI 49546-2149 | 2012-05-07 |
| 1316205578 | Jason Paul Cruff | Obstetrics & Gynecology | 22731 Newman St Ste 200, Dearborn, MI 48124-2023 | 2012-04-25 |
| 1326053083 | Ali Maria Luck | Obstetrics & Gynecology | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2006-07-30 |
| 1376557389 | Douglas M Vandrie | Obstetrics & Gynecology | 555 Midtowne Street Ne, Suite 450, Grand Rapids, MI 49503-5732 | 2006-07-27 |
| 1093737413 | Michael L Bennett | Obstetrics & Gynecology | 555 Midtowne Stret Ne, Suite 450, Grand Rapids, MI 49503-5732 | 2006-07-24 |
| 1053332296 | Husam Abed | Obstetrics & Gynecology | 15265 Northline Rd, Southgate, MI 48195-2487 | 2006-07-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JASON B. 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.