DR. TIMOTHY L. BENNETT (NPI# 1710096755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710096755 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY L. BENNETT |
| Credential | M.D. |
| Practice Address |
5520 College Boulevard Suite 480 Overland Park KS 66211 |
| Mailing Address |
2401 Gillham Road Children's Mercy Hospitals and Clinics Kansas City MO 64108 |
| Practice Telephone | 9136965000 |
| Practice Fax Number | 9136965005 |
| Mailing Telephone | 8163461343 |
| Mailing Fax Number | 8162349336 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 04-20677 | KS | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
04-20677 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRSTGUARD | 625210 | 01 | |
| MO | BCBS KANSAS CITY | 10865061 | 01 |
| RR MEDICARE | 160035366 | 01 | |
| KS | 100160620B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309150 | Timothy Richard Bennett | Specialist/Technologist | 114 Center Rd, Dudley, MA 01571-6310 | 2017-07-18 |
| 1366520249 | Timothy Paul Bennett | Dentist | 3209 Castro Valley Blvd, Suite 1, Castro Valley, CA 94546 | 2006-11-01 |
| 1033205901 | Timothy Paul Bennett | Dentist | 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 | 2006-10-05 |
| 1629535612 | Timothy Robert Bennett | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2019-02-26 |
| 1316418114 | Timothy Bennett | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2018-12-06 |
| 1073673570 | Timothy C Bennett | Chiropractor | 3901 Rivers Ave, N Charleston, SC 29405-7042 | 2006-12-12 |
| 1427073477 | Timothy Francis Bennett | Counselor | 825 Fishburn Rd, Hershey, PA 17033-2015 | 2006-07-12 |
| Street Address |
5520 COLLEGE BOULEVARD SUITE 480 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164586152 | Bernard Mark Abrams | Psychiatry & Neurology | 5520 College Boulevard, Suite 320, Overland Park, KS 66211-1690 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184673410 | Midwest Perinatal Associates, P.a. | Obstetrics & Gynecology | 12200 W 106th St, 110, Overland Park, KS 66215-2300 | 2006-05-05 |
| 1265408751 | Brent E Finley | Obstetrics & Gynecology | 12200 W 106th St, 110, Overland Park, KS 66215-2300 | 2006-02-24 |
| 1104892694 | Tracy A Cowles | Obstetrics & Gynecology | 12200 W 106th St, 110, Overland Park, KS 66215-2300 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124921 | St. Catherine Hospital | Obstetrics & Gynecology | 2132 N Kansas Ave Ste C, Liberal, KS 67901-2099 | 2020-08-13 |
| 1174553440 | Carl P Weiner | Obstetrics & Gynecology | Ob Gyn 3901 Rainbow Blvd, Ms2028, Kansas City, KS 66160-0001 | 2006-07-03 |
| 1659980001 | St. Catherine Hospital | Obstetrics & Gynecology | 310 E Walnut St, Garden City, KS 67846-5572 | 2020-07-30 |
| 1417241902 | Preferred Medical Associates | Obstetrics & Gynecology | 1515 S Clifton Ave, Ste. 130, Wichita, KS 67218-2900 | 2011-06-02 |
| 1063612521 | Gene T. Lee | Obstetrics & Gynecology | University of Kansas Medical Center, 3901 Rainbow Blvd., Ms2028, Kansas City, KS 66160 | 2007-07-23 |
| 1922111202 | Wesley Physician Services LLC | Obstetrics & Gynecology | 551 N Hillside St, Suite 330, Wichita, KS 67214-4923 | 2006-08-17 |
| 1790798536 | Laura H Hughes | Obstetrics & Gynecology | 1500 Sw 10th Ave, Maternal and Fetal Medicine, Topeka, KS 66604-1301 | 2006-08-14 |
| 1487663571 | Darren M Farley | Obstetrics & Gynecology | 3232 E Murdock St, Wichita, KS 67208-3003 | 2006-08-06 |
| 1184671307 | Wesley Physician Services LLC | Obstetrics & Gynecology | 551 N Hillside St, Ste 330, Wichita, KS 67214-4923 | 2006-05-31 |
| 1114984705 | Charles W Gibbs | Obstetrics & Gynecology | 3901 Rainbow Blvd, Mailstop 2028, Kansas City, KS 66160-0001 | 2006-04-27 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.