MR. DOUGLAS PORTER BENNETT (NPI# 1427111491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427111491 |
Entity Type | Individual |
Full Name | MR. DOUGLAS PORTER BENNETT |
Credential | PA-C |
Practice Address |
16 Hospital Drive York ME 03909 |
Mailing Address |
15 Hospital Dr Medical Staff Office York ME 03909-1011 |
Practice Telephone | 2073633700 |
Mailing Telephone | 2073512478 |
Mailing Fax Number | 2073512153 |
Enumeration Date | 2006-12-19 |
Last Update Date | 2013-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-625 | ME | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770083446 | Douglas Noland Bennett | Physical Therapist | 25030 Sw Parkway Ave Ste 100, Wilsonville, OR 97070-9816 | 2018-02-19 |
1780774919 | Douglas Eugene Bennett | Chiropractor | 195 S Main St, Suite# 1, Longmont, CO 80501-5780 | 2006-10-16 |
1386668317 | Douglas Ryan Bennett | Specialist/Technologist | 1400 Edwards Mill Rd, Raleigh, NC 27607-3624 | 2006-07-26 |
1710903497 | Douglas P Bennett | Internal Medicine | 525 Central Ave Ste C, Westfield, NJ 07090 | 2006-07-14 |
1578990677 | Douglas Bennett | Psychologist | 703 3rd St, West Lafayette, IN 47907-2081 | 2013-10-03 |
1942314513 | Douglas Bennett | Pediatrics | 485 Titus Ave, Suite F, Rochester, NY 14617-3535 | 2006-08-19 |
1730191131 | Douglas M. Bennett | Emergency Medicine | 501 Morris St, Charleston, WV 25301-1326 | 2006-08-13 |
Street Address |
16 HOSPITAL DRIVE |
City | YORK |
State | ME |
Zip Code | 03909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528121209 | John Thomas Albright | Orthopaedic Surgery | 16 Hospital Drive, York, ME 03909 | 2006-12-18 |
1588713218 | York Family Practice | Family Medicine | 16 Hospital Drive, York, ME 03909 | 2007-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
Find all providers in zip 03909 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114074424 | Norman Scott Yoder | Physician Assistant | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2007-01-05 |
1235192808 | Karen J Reedy | Physician Assistant | 2058 S Queen St, York, PA 17403-4829 | 2006-04-06 |
1033525068 | Rebecca Cloninger | Physician Assistant | 228 Saint Charles Way Ste 300, York, PA 17402-4661 | 2014-07-10 |
1144466533 | Clare Marie Palmatier | Physician Assistant | 25 Monument Rd, Suite 290, York, PA 17403-5060 | 2009-01-06 |
1194885541 | Krista Marie Rager | Physician Assistant | 1855 Powder Mill Rd, York, PA 17402-4723 | 2006-12-08 |
1184605081 | Heidi J Combs | Physician Assistant | 2114 N Lincoln Ave, Suite B, York, NE 68467-1028 | 2005-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
1568550341 | Laura M. Glaser | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2006-10-10 |
1679595433 | John Nowak | Physician Assistant | 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 | 2006-07-24 |
1093730350 | Melissa Becker | Physician Assistant | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2006-07-13 |
1841228889 | John D Clark | Physician Assistant | 39 Miles St., Damariscotta, ME 04543-0000 | 2006-06-29 |
1003867086 | Callie Orae Mcmahon | Physician Assistant | 262 Church Rd, Brunswick, ME 04011-7302 | 2006-05-13 |
1154379345 | Marybess Skaletsky | Physician Assistant | 301 Us Route 1, Building C, Scarborough, ME 04074-9701 | 2006-05-04 |
1053383547 | Leonard V Sherwood | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2006-02-07 |
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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.