Individual provider Active NPI

Karen S. Clarke-Bennett, D.O.

  • Family Medicine Physician
  • Odenton, MD
National Provider Identifier
1376731034
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0066498 Issued in MD
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

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
H0066498MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 26, 2025 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.

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.

Verify at the official NPI Registry.