KELLY M BENNETT


Address: 6010 S Mason Montgomery Rd, Mason, OH 45040-3706
Phone: 1324670005

KELLY M BENNETT (NPI# 1306136460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306136460
Entity Type Individual
Full Name KELLY M BENNETT
Credential M.D.
Practice Address 6010 S Mason Montgomery Rd
Mason
OH 45040-3706
Mailing Address Group Health Associates
6010 S. Mason Montgomery Road
Mason
OH 45040-3706
Practice Telephone 1324670005
Practice Fax Number 5132046355
Mailing Telephone 5132467000
Enumeration Date 2011-04-11
Last Update Date 2018-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 35122871 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0114738 05

Other Providers KELLY BENNETT

NPI Name Taxonomy Address Enumeration
1578033387 Kelly S Bennett Counselor 11100 Highway 1078, Folsom, LA 70437-3501 2018-12-05
1134302722 Kelly Randolph Bennett Psychologist 578 Via Arista, Santa Fe, NM 87506-4507 2007-12-06
1831101641 Kelly Angela Bennett Specialist 1161 21st Avenue South R 1217 Medical Center North, Vanderbilt University, Nashville, TN 37232 2006-08-12
1982634762 Kelly A Bennett Physician Assistant 1028 Lee Ann Dr Ne Ste 200, Concord, NC 28025-2915 2006-07-04
1891184875 Kelly Bennett Nurse Practitioner 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2716 2015-01-14
1013329481 Kelly Bennett Counselor 2711 W 15th St, Panama City, FL 32401-1366 2014-05-20
1083999247 Kelly Bennett Pharmacist 1191 Dixwell Ave, Hamden, CT 06514-4733 2011-10-19
1144356437 Kelly Marie Bennett Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2007-02-23
1063404127 Kelly A. Bennett Family Medicine 3601 4th St, Lubbock, TX 79430-0002 2005-08-16

Office Location

Street Address 6010 S MASON MONTGOMERY RD
City MASON
State OH
Zip Code 45040-3706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629058037 Michael A Hoffmann Internal Medicine 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2006-01-20
1053791483 Jeffrey Zaenger Nurse Practitioner 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2015-06-01
1982081931 Benjamin Terrence Minick Pediatrics 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2015-04-29
1821480096 Melissa Lynn Basile Occupational Therapist 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2015-02-25
1326453150 Cory Davis Nurse Practitioner 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2014-07-01
1912246711 Jeannie Marchionda Audiologist 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2013-02-14
1932463551 Michelle E Khosla Nurse Practitioner 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2012-06-28
1699039529 Kayla Jeanell Smith Plastic Surgery 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2012-06-26
1609142579 Katherine Livesay Broering Pediatrics 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2012-03-26
1417199084 Shrishail Melappa Nashi Physical Medicine & Rehabilitation 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2009-03-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336633882 Jarek Beegan Specialist/Technologist, Other 8188 Corporate Way, Mason, OH 45040 2018-06-19
1548771439 Jeanene Gibson Registered Nurse 9945 Coventry Court, Mason, OH 45040 2017-10-18
1093249898 Peace of Mind Care Services, Inc. Community/Behavioral Health 5180 Cedar Village Drive, Suite A, Mason, OH 45040 2017-04-18
1477938736 Justin William Florek Chiropractor 6213 Snider Road, Mason, OH 45040 2015-07-28
1730562729 Alexandra Courts Physical Therapist 5267 Joseph Ln, Mason, OH 45040 2015-07-08
1982083531 Nicole Roether Specialist/Technologist 5236 Socialville-foster Road, Mason, OH 45040 2015-05-28
1568849123 Alissa Marie Conde Pediatrics 9560 Children's Drive, Mason, OH 45040 2015-05-04
1205220696 Elizabeth Barnes Pain Medicine 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 2015-03-24
1669864807 Lang Truong Pharmacist 5542 Red Fox Ct, Mason, OH 45040 2015-02-25
1295133668 Gregory Carr Psychologist 4569 Wesley Ct, Mason, OH 45040 2014-12-16
Find all providers in zip 45040

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841432416 Aimee Michelle Reeder Pediatrics 9600 Children Dr Bldg D, Suite 100, Mason, OH 45040-6791 2009-03-29
1306056015 Kristin L Kaltenstadler Pediatrics 9600 Children Dr, Mason, OH 45040-6791 2007-05-23
1457415390 Kathryn Ellen Omalley Pediatrics 608 Reading Rd Ste D, Mason, OH 45040-1561 2006-12-21
1316001258 Todd David Habel Pediatrics 6400 Thornberry Ct Ste 610, Mason, OH 45040-7818 2006-12-21
1083662886 Thanh T Truong Pediatrics 5126 Butler Warren Rd, Mason, OH 45040-1241 2006-05-04
1952364424 Thomas A Roesch Pediatrics 5386 Cox Smith Rd, Suite A, Mason, OH 45040-9289 2006-04-07
1942271390 Robert E Dempsey Pediatrics 585 Jewett Rd, Mason, MI 48854-8729 2006-02-01
1043210388 Balzer C. Sandrock Pediatrics 8185 Corporate Way, Mason, OH 45040-9335 2005-07-28
1942801022 Chmc Community Health Services Network Pediatrics 9600 Children Dr Bldg D, Mason, OH 45040-6791 2020-11-04
1982081931 Benjamin Terrence Minick Pediatrics 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2015-04-29
Find all providers in MASON

Competitor

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City MASON
Zip Code 45040

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Dataset Information

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.

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