KRISTEN F BENNETHUM (NPI# 1447261771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447261771 |
| Entity Type | Individual |
| Full Name | KRISTEN F BENNETHUM |
| Credential | PA-C |
| Practice Address |
2400 Maryland Rd Suite 20 Willow Grove PA 19090-1700 |
| Practice Telephone | 2158308700 |
| Practice Fax Number | 2158308715 |
| Mailing Telephone | 2158308700 |
| Mailing Fax Number | 2158308715 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA-051528 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2400 MARYLAND RD SUITE 20 |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417640 | Anthony C Anzalone | Podiatrist | 2400 Maryland Rd, Ste 30, Willow Grove, PA 19090-1700 | 2005-06-20 |
| 1063887321 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 2400 Maryland Rd, Willow Grove, PA 19090-1700 | 2015-12-11 |
| 1477994564 | Jamie Joanne Le | Physician Assistant | 2400 Maryland Rd, Suite 20, Willow Grove, PA 19090 | 2013-07-17 |
| 1144539982 | Abington Orthopaedic Specialists, PC | Orthopaedic Surgery | 2400 Maryland Rd, Suite 20, Willow Grove, PA 19090-1700 | 2010-09-28 |
| 1740507185 | Rachel Shakked | Orthopaedic Surgery | 2400 Maryland Rd, Suite 20, Willow Grove, PA 19090-1700 | 2010-04-26 |
| 1780817585 | Edward Julius Rosero | Physical Medicine & Rehabilitation | 2400 Maryland Rd, Ste 20, Willow Grove, PA 19090-1700 | 2009-08-26 |
| 1538310974 | Sandra Tatigikis-faw | Occupational Therapist | 2400 Maryland Rd, Suite 10, Willow Grove, PA 19090-1700 | 2008-10-03 |
| 1477710598 | Rehabclinics Spt Inc | Clinic/Center | 2400 Maryland Rd, Ste 10, Willow Grove, PA 19090-1700 | 2008-05-16 |
| 1588839906 | Maureen Cholewiak Royds | Physical Therapist | 2400 Maryland Rd, Suite 10, Willow Grove, PA 19090-1700 | 2008-04-26 |
| 1821296302 | Kristin Julia Maile | Physician Assistant | 2400 Maryland Rd, Willow Grove, PA 19090-1700 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871536912 | Kimberly Erikson | Physician Assistant | 2300 Computer Ave, Suite E-25, Abington Primary Womens Healthcare Group, Willow Grove, PA 19090 | 2006-06-14 |
| 1275043705 | Shannon Kirby Lutz | Physician Assistant | 2360 Maryland Rd, Willow Grove, PA 19090 | 2017-10-11 |
| 1821460726 | Katherine Mccambridge | Physician Assistant | 2360 Maryland Rd, Willow Grove, PA 19090-1709 | 2015-10-30 |
| 1356422182 | Jennifer M Pinto | Physician Assistant | 2325 Maryland Rd, Willow Grove, PA 19090-1749 | 2006-10-18 |
| 1124120126 | Vicki Boruta | Physician Assistant | 2701 Blair Mill Rd, Suite 8, Willow Grove, PA 19090-1041 | 2006-09-01 |
| 1336241330 | Maureen Patt-bogut | Physician Assistant | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-01 |
| 1851304919 | Theresa Miller | Physician Assistant | 2400 Maryland Rd, Suite 20, Willow Grove, PA 19090-1700 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
Please comment or provide details below to improve the information on KRISTEN F BENNETHUM.
| 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.