PAUL A BENNETT


Address: 374 E. Grand Ave, Carbondale, IL 62901
Phone: 6184533311

PAUL A BENNETT (NPI# 1366526600) 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) 1366526600
Entity Type Individual
Full Name PAUL A BENNETT
Credential MD
Practice Address 374 E. Grand Ave
Carbondale
IL 62901
Mailing Address 3050 Chautauqua Rd
Carbondale
IL 62901-5241
Practice Telephone 6184533311
Mailing Telephone 6184575980
Enumeration Date 2006-10-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine IL Allopathic & Osteopathic Physicians

Other Providers PAUL BENNETT

NPI Name Taxonomy Address Enumeration
1780933770 Paul John Bennett Physical Medicine & Rehabilitation 100 Ne Randolph Ave, Peoria, IL 61606-1919 2012-09-05
1114164530 Paul J Bennett Social Worker 540 Litchfield St, Torrington, CT 06790-6679 2009-01-08
1750546495 Paul Martin Bennett Internal Medicine 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 2008-07-22
1831265388 Paul Clark Bennett Social Worker 1212 W Main St, Visalia, CA 93291-5917 2006-11-27
1932110723 Paul G. Bennett Nurse Anesthetist, Certified Registered 4441 E Mcdowell Rd, Suite 101, Phoenix, AZ 85008-4503 2006-08-10
1851305569 Paul J. Bennett Specialist 2215 Landover Pl, Lynchburg, VA 24501-2115 2006-07-28
1801855853 Paul Wesley Bennett Family Medicine 4151 Hoover Rd, Grove City, OH 43123-3617 2006-03-20
1346217114 Paul Bennett Anesthesiology 24355 Lyons Ave, Ste.#120, Santa Clarita, CA 91321-2300 2006-03-01
1801884341 Paul S Bennett Otolaryngology 1248 Huffman Mill Road Ste 200, Burlington, NC 27215-8700 2005-10-10

Office Location

Street Address 374 E. GRAND AVE
City CARBONDALE
State IL
Zip Code 62901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710502570 Zubin Wala Family Medicine 300 W Oak St Ste 200, Carbondale, IL 62901-1400 2020-06-08
1023490950 Kowsika Movva Family Medicine 207 W Jackson St Ste 102, Carbondale, IL 62901-1408 2015-06-27
1710392428 Andrew John Hossler Family Medicine 207 W Jackson St Ste 101, Carbondale, IL 62901-1408 2014-06-23
1487833091 Sarah Hasek, Md, LLC Family Medicine 207 W Jackson St Ste 202, Carbondale, IL 62901-1408 2007-10-31
1770635062 Deedra Gail Mclain Family Medicine 300 W Oak St, Carbondale, IL 62901-1400 2007-01-17
1710034236 Anna Gabriela Konicek Family Medicine 151 Summit Dr, Carbondale, CO 81623-8747 2007-01-05
1295801835 Kimball John Spence Family Medicine 1340 Hwy 133, Carbondale, CO 81623-1933 2006-11-27
1659447290 Gary D Knaus Family Medicine 1340 Highway 133, Carbondale, CO 81623-1933 2006-11-27
1285723635 Roger D Jones Family Medicine 207 W Jackson Ste 102, Carbondale, IL 62901 2006-10-12
1700972809 Elizabeth Flood Spidell Family Medicine 1340 Hwy. 133, Carbondale, CO 81623 2006-10-05
Find all providers in CARBONDALE

Competitor

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City CARBONDALE
Zip Code 62901

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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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