JASON ANDREW BENNETT (NPI# 1386755809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386755809 |
| Entity Type | Individual |
| Full Name | JASON ANDREW BENNETT |
| Credential | MD |
| Practice Address |
122 12th St Princeton WV 24740 |
| Mailing Address |
118 12th Street Princeton WV 24740-3246 |
| Practice Telephone | 3044877349 |
| Mailing Telephone | 3044315168 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
21356 | WV | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD.205664 | LA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD429260 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PPOS | 77644605 | 01 | |
| CIGNA | 7905789 | 01 | |
| ANTHEM | 000000493642 | 01 | |
| LA | 2304313 | 05 | |
| MS | 03223248 | 05 | |
| PA | 1017445660001 | 05 | |
| AETNA HMOS | 1393196 | 01 | |
| PA | HIGHMARK | 1904630 | 01 |
| OH | 2698906 | 05 | |
| PA | GATEWAY | 156840 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1514 Jefferson Hwy, New Orleans, LA 701212429 | 5048424000 | |
| 122 12th St, Princeton, WV 24740 | 3044877349 |
| 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 |
| 1295757631 | Jason B. Bennett | Obstetrics & Gynecology | 6745 Fulton St E Ste 101, Ada, MI 49301-8107 | 2006-07-24 |
| 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 |
| Street Address |
122 12TH ST |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326049586 | Thomas Charles Martin Jr. | Pathology | 122 12th St, Princeton, WV 24740-2312 | 2005-08-09 |
| 1508495169 | Valerie Renee Mould | Pharmacist | 122 12th St, Princeton, WV 24740-2312 | 2020-04-06 |
| 1295360501 | Kaitlin Douglas | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2020-03-06 |
| 1851843114 | Phillip Sean Mckenzie | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2016-11-02 |
| 1508310814 | Corey White | Internal Medicine | 122 12th St, Princeton, WV 24740-2312 | 2016-08-04 |
| 1548610975 | Cassidy Smith | Internal Medicine | 122 12th St, Princeton, WV 24740-2312 | 2016-06-16 |
| 1649666488 | Ryan Craddock | Internal Medicine | 122 12th St, Princeton, WV 24740 | 2015-04-08 |
| 1912307323 | Megan Alyse Meadows | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2014-09-04 |
| 1497193007 | Shawn L. Vest | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2013-06-06 |
| 1780997098 | Arthi Vasudevan Price | Physician Assistant | 122 12th St, Princeton, WV 24740-2312 | 2010-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972781185 | Michal Gerwel | Pathology | 497 Sayre Dr, Princeton, NJ 08540-5855 | 2008-02-11 |
| 1326049586 | Thomas Charles Martin Jr. | Pathology | 122 12th St, Princeton, WV 24740-2312 | 2005-08-09 |
| 1215936091 | Carlos Fernandez Delara | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-07-14 |
| 1861571135 | Pathology Associates of Princeton | Pathology | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2006-11-06 |
| 1720003833 | Craig E Vanuitert | Pathology | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2006-07-12 |
| 1194753616 | Elliot Aryeh Krauss | Pathology | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2006-06-30 |
| 1861484560 | Gopal M Pardasani | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-08-18 |
| 1558353250 | Biomedical Services Inc | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384251 | Analyze Pathology Inc. | Pathology | 2 Bosley Ave, Parkersburg, WV 26101-7110 | 2019-12-24 |
| 1609164227 | Deidra Fawn Muto | Pathology | 219 Georgetown Pl, Charleston, WV 25314-1871 | 2011-07-17 |
| 1881815389 | Philip Sumner Grove | Pathology | 300 S Preston Street, Ranson, WV 25438 | 2007-05-01 |
| 1912921883 | Harvey J Feld | Pathology | H Feld/qmbs/medusind (billing Inquires), 500 North Street, Bluefield, WV 24701 | 2006-07-26 |
| 1255318705 | Alan W Cashell | Pathology | 725 Yokum Street, Elkins, WV 26241-3181 | 2005-12-27 |
| 1720087596 | Charleston Pathology Associates Pllc | Pathology | 333 Laidley St, Charleston, WV 25301-1614 | 2005-07-14 |
| 1073519468 | Gregory J Moses | Pathology | 112 Brentwood Hts, Parkersburg, WV 26104-8503 | 2005-06-22 |
| 1568468924 | Robert J Herceg | Pathology | 705 Garfield Ave, Ste 205, Parkersburg, WV 26101-5444 | 2005-06-21 |
| 1144224775 | University Physicians & Surgeons, Inc. | Pathology | 1001 10th Ave, Huntington, WV 25701-3316 | 2005-06-10 |
| 1124022462 | Stephen Patrick Poolos | Pathology | 500 Cherry St, Bluefield, WV 24701-3306 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JASON ANDREW 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.