DR. TERESA JEAN BENTLEY (NPI# 1922150994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922150994 |
| Entity Type | Individual |
| Full Name | DR. TERESA JEAN BENTLEY |
| Credential | M.D. |
| Practice Address |
120 Tradepark Dr Suite B Somerset KY 42503-3454 |
| Mailing Address |
3504 Woodhaven Dr Somerset KY 42503-9528 |
| Practice Telephone | 6066799292 |
| Practice Fax Number | 6066799294 |
| Mailing Telephone | 6066794919 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 22399 | KY | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
22399 | KY | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
22399 | KY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
22399 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AB9206497 | 01 | |
| RAILROAD MEDICARE | 070007354 | 01 | |
| ANTHEM | 000000048629 | 01 | |
| KY | 64223993 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750553251 | Teresa Louise Bentley | Marriage & Family Therapist | 203 Parfitt Way Sw, Suite 120, Bainbridge Island, WA 98110-4906 | 2008-03-25 |
| 1992061139 | Teresa Catherine Bentley | Counselor | 175 N Groesbeck Hwy, Unit 175-f, Mount Clemens, MI 48043-1562 | 2012-04-02 |
| 1780749291 | Teresa Sue Bentley | Registered Nurse | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2006-12-26 |
| Street Address |
120 TRADEPARK DR SUITE B |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587251 | Mark A Henry | Ophthalmology | 120 Tradepark Dr, Ste A, Somerset, KY 42503-3454 | 2005-12-01 |
| 1558695262 | Lake Cumberland Cardiology Associates, LLC | Internal Medicine | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-09-28 |
| 1053550046 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-02-13 |
| 1235315755 | Kimberly Meyer | Nurse Practitioner | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2008-01-15 |
| 1285776476 | Southern Kentucky Eye Center Psc | Optometrist | 120 Tradepark Dr, Suite A, Somerset, KY 42503-3454 | 2007-02-13 |
| 1063564011 | Christopher John Frost | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1477639243 | Dermatology Center of Lake Cumberland, Psc | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091983 | Aura Dermatology At Somerset LLC | Dermatology | 75 Veronica Ave Ste 205, Somerset, NJ 08873-5002 | 2020-01-01 |
| 1598973083 | Carmen Davis | Dermatology | 1 World 's Fair Dr., Suite 2400, Somerset, NJ 08873 | 2007-05-18 |
| 1881772820 | Victor Silverstein | Dermatology | 1303 Route Twenty Seven, Somerset, NJ 08873 | 2006-11-01 |
| 1598723884 | Amy S Pappert | Dermatology | 1 Worlds Fair Dr, Suite 2400, Somerset, NJ 08873-1344 | 2006-05-03 |
| 1770540890 | Princeton Dermatology Associates Kendall Parkpc | Dermatology | 1543 State Highway 27, Suite31, Somerset, NJ 08873-3904 | 2006-05-01 |
| 1376858548 | Academic Dermatology Inc | Dermatology | 75 Veronica Ave, Suite 205, Somerset, NJ 08873-5002 | 2010-08-12 |
| 1669633814 | King-maceyko Dermatology Assoc Ltd | Dermatology | 223 S Pleasant Ave, Suite 101, Somerset, PA 15501 | 2008-06-20 |
| 1912128307 | Brian L Baker | Dermatology | 85 Tower Circle, Somerset, KY 42503 | 2007-05-01 |
| 1063564011 | Christopher John Frost | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1316029796 | Penelope J Cohen | Dermatology | 1527 Route 27, Suite 2800, Somerset, NJ 08857 | 2006-10-19 |
| Find all providers in SOMERSET | ||||
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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.