STEPHEN H BENNETT MD PC


Address: 1045 E 3900 S Ste 201, Salt Lake City, UT 84124-1192
Phone: 8012664212

STEPHEN H BENNETT MD PC (NPI# 1932407277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932407277
Entity Type Organization
Organization Name STEPHEN H BENNETT MD PC
Practice Address 1045 E 3900 S Ste 201
Salt Lake City
UT 84124-1192
Practice Telephone 8012664212
Mailing Telephone 8012664212
Enumeration Date 2011-03-10
Last Update Date 2012-06-25
Authorized Official Name DR. STEPHEN BENNETT (OWNER)
Authorized Official Telephone 8012664212
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
161245-1205 UT Ambulatory Health Care Facilities

Office Location

Street Address 1045 E 3900 S STE 201
City SALT LAKE CITY
State UT
Zip Code 84124-1192

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1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1952720674 Bountiful Surgery Center, LLC Clinic/Center 6360 S 3000 E Ste 320, Salt Lake City, UT 84121-6932 2014-04-09
1568644771 Physicians Service Group, Inc. Clinic/Center 7369 East 2223 South, Salt Lake City, UT 84109 2007-11-29
1780885442 Lyssa Inc Clinic/Center 530 E 500 S, Salt Lake City, UT 84102-2746 2007-05-30
1790906204 Ear, Nose & Throat Surgery Center of Utah LLC Clinic/Center 22 S 900 E Ste 2, Salt Lake City, UT 84102-1307 2007-05-01
1164647707 Ihc Health Services, Inc. Clinic/Center 359 8th Ave, Salt Lake City, UT 84103-2895 2007-04-17
1922148063 The Surgery Center At Salt Lake Regional, L.L.C. Clinic/Center 82 South 1100 East, Suite 200, Salt Lake City, UT 84102 2007-02-07
1881701290 Wasatch Endoscopy Center Ltd Clinic/Center 1220 E 3900 S Ste 1b, Salt Lake City, UT 84124-1327 2006-08-23
1609896216 Salt Lake Endoscopy Center Clinic/Center 24 S 1100 E Ste 103, Salt Lake City, UT 84102-1592 2006-07-20
1356395586 Physicians Surgery Center, LLC Clinic/Center 1485 E 3900 S, Salt Lake City, UT 84124-1412 2006-05-20
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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