Sean H Bennett, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

739 North Fork Highway
Grant County Health Department
Petersburg, WV 26847-0608

Phone

(304) 257-4922

Fax

(304) 257-2422

NPI assigned

May 21, 2009

Last updated

May 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Grant County Board of Health

  dba Grant County Health Department

  • Public Health or Welfare Agency
  • Petersburg, WV
  • NPI 1043397110
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1144455023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268470608",
            "telephone_number": "304-257-4922",
            "fax_number": "304-257-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 NORTH FORK HIGHWAY",
            "address_2": "GRANT COUNTY HEALTH DEPARTMENT",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268470608",
            "telephone_number": "304-257-4922",
            "fax_number": "304-257-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SEAN",
        "middle_name": "H",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suenette Lynn Barr
• Wanda Barr
• Anita Dawn Bennett
• Brenda Kay Bennett
• Cheryl L Bennett, OD
• Terry J Bennett
• Tiemey Bennett
• Amy Brett Bensenhaver, FNP
• Dewey F Bensenhaver, MD
• Doreen Kerry Benson

• Independent Duty Medical Technicians in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Independent Duty Medical Technicians in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.