CHARLES P BENNETT (NPI# 1821077801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821077801 |
| Entity Type | Individual |
| Full Name | CHARLES P BENNETT |
| Credential | MD |
| Practice Address |
430 E Division St Fond Du Lac WI 54935-4560 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209268340 |
| Mailing Telephone | 9209292300 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 48798 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34823000 | 05 | |
| WI | DEAN | 14559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487052577 | Charles Bennett | Registered Nurse | 3143 S Southwind Dr, Gilbert, AZ 85295-8334 | 2014-12-05 |
| 1225197577 | Charles Michael Bennett | Dentist | 812 S State St, Orem, UT 84097-7026 | 2006-12-06 |
| 1588756795 | Charles V. Bennett Jr. | Obstetrics & Gynecology | 126 Medical Dr., Suite A, Palestine, TX 75801 | 2006-09-28 |
| 1275540429 | Charles Eugene Bennett | Chiropractor | 1033 East 21st Street, Suite 101 Building 100, Wichita, KS 67206-3544 | 2006-08-01 |
| 1386614469 | Charles Williams Bennett | Family Medicine | 11845 Hg Trueman Rd, Lusby, MD 20657-2855 | 2006-01-23 |
| 1659373330 | Charles Nelson Bennett | Family Medicine | 301 S Palm Ave, Palatka, FL 32177-4143 | 2005-08-12 |
| 1821504143 | Charles Archie Bennett Jr. | Hearing Instrument Specialist | 158 S Main St, Woodstock, VA 22664-1423 | 2017-12-22 |
| 1023435500 | Charles Bennett Iv | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2014-03-24 |
| 1386936193 | Charles Bennett | Pharmacist | 251 N Main St, Holly Springs, NC 27540-9194 | 2011-05-11 |
| 1407155112 | Charles Raul Bennett | Counselor | 720 W Court St Ste 8, Pasco, WA 99301-4178 | 2011-03-21 |
| Street Address |
430 E DIVISION ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157831 | Gilberto Cantu | Nurse Anesthetist, Certified Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-07-09 |
| 1992306310 | Leah Timm | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-11-03 |
| 1982212312 | Tiffany M Parker | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-07-22 |
| 1619594355 | Brynn Sytsma | Student in an Organized Health Care Education/Training Program | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-29 |
| 1891312633 | Joshua Mckinney | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-27 |
| 1275153264 | Jacalyn Lucille Wendt Coleman | Dietitian, Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-04-20 |
| 1568090884 | Jaclyn R Monteverde | Physician Assistant | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-31 |
| 1235766718 | Emily Jean Thiel | Dietitian, Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-25 |
| 1326674136 | Alexandria Lynn Hefter | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-13 |
| 1952933046 | Gina Paveglio | Registered Nurse | 430 E Division St, Surgery Dept, Fond Du Lac, WI 54935 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750546636 | David T Haubenschild | Anesthesiology | 430 East Division St, St. Agnes Hospital, Fond Du Lac, WI 54935 | 2008-07-21 |
| 1912095910 | Andrew Braun | Anesthesiology | 593 Whispering Springs Dr, Fond Du Lac, WI 54937-6913 | 2006-10-11 |
| 1073856761 | Jacqueline Lee Bogan | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2013-04-01 |
| 1588927651 | Rebecca Eve Varebrook | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2012-06-22 |
| 1831456714 | Steven A Sobeck | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2012-04-18 |
| 1295056935 | Lawrence R Bellmore IIi | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2010-06-17 |
| 1992021422 | Patrick L Pike | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2010-04-08 |
| 1245563329 | Ilya A Khotimsky | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2009-09-08 |
| 1194846998 | Jacob M Waidelich | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2007-04-02 |
| 1558447938 | Scott Alan Tschetter | Anesthesiology | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-10-28 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.