Sarita L Bennett, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1755 Issued in WV

Practice address

RR 2 Box 386
Marlinton, WV 24954-9743

Phone

(304) 799-0011

Fax

(304) 799-0035

NPI assigned

Jul 7, 2005

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sarita L Bennett

  • General Practice Physician
  • Marlinton, WV
  • NPI 1518168053
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1144227885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 386",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249549743",
            "telephone_number": "304-799-0011",
            "fax_number": "304-799-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 386",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249549743",
            "telephone_number": "304-799-0011",
            "fax_number": "304-799-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SARITA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600573000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4902001001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4902001000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie Ellen Balser
• Stacy Kayla Barr
• Bat Jac of South Carolina (Pocahontas Pharmacy)
• Keith Bennett
• Melissa Bennett
• Monica A Bing, RN
• Crystal Blankenship
• Victoria Evon Blankenship
• Linda Boggs
• Carrie Jo Branch

• Family Medicine Physician in Marlinton, WV
• Providers in Marlinton, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.