Active NPI
Karen S. Clarke-Bennett, D.O.
- Family Medicine Physician
- Odenton, MD
National Provider Identifier
1376731034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0066498
- Practice address
- 1114 Town Center Blvd
Suite G
Odenton, MD 21113 - Phone
- (410) 672-2700
- Fax
- (410) 672-2707
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0066498 | MD | Primary |
Addresses
Primary practice location
1114 Town Center Blvd
Suite G
Odenton, MD 21113
Mailing address
324 Main St
1222
Laurel, MD 20725-7571
Phone (410) 672-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0066498 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1114 Town Center Blvd
Ste G
Odenton, MD 21113
Phone (301) 832-2455
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1447062708
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1376731034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 MAIN ST",
"address_2": "1222",
"city": "LAUREL",
"state": "MD",
"postal_code": "207257571",
"telephone_number": "410-672-2700",
"fax_number": "410-672-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 TOWN CENTER BLVD",
"address_2": "SUITE G",
"city": "ODENTON",
"state": "MD",
"postal_code": "21113",
"telephone_number": "410-672-2700",
"fax_number": "410-672-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE-BENNETT",
"first_name": "KAREN",
"middle_name": "S.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H0066498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.