John R Bennett, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00020703 Issued in WA

Practice address

203 S Western Ave
C/O: Credentialing
Tonasket, WA 98855

Phone

(509) 486-2151

Fax

(509) 486-3176

NPI assigned

Jul 26, 2006

Last updated

Jan 20, 2021By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kaiser Foundation Health Plan of Washington

  dba Everett Medical Center

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1386935351
  NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1396810701
  NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1669619870
  NPD
• Northwest Emergency Physicians LLC

  dba Nep

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370
  NPD
• Okanogan County Public Hospital Dist No 4

  • Critical Access Hospital
  • Tonasket, WA
  • NPI 1164580700
  NPD
• Okanogan County Public Hospital Dist No 4

  dba North Valley Professional Services

  • Medical Specialty Clinic/Center
  • Tonasket, WA
  • NPI 1750443834
  NPD
• Okanogan County Public Hospital Dist No 4

  dba Tonasket Family Medical Clinic

  • Rural Health Clinic/Center
  • Tonasket, WA
  • NPI 1811555931
  NPD
• DHHS IHS Phoenix

  dba Supai Health Center

  • Clinic/Center
  • Supai, AZ
  • NPI 1184901829
  NPD
• DHHS IHS Phoenix Area

  dba Peach Springs Health Center

  • Clinic/Center
  • Peach Springs, AZ
  • NPI 1265719934
  NPD
• Ton San Simon Health Center

  dba San Simon Health Center

  • Health Service Clinic/Center
  • Sells, AZ
  • NPI 1588834998
  NPD
• Ton San Xavier Health Center

  dba San Xavier Health Center

  • Federal Public Health Clinic/Center
  • Tucson, AZ
  • NPI 1437157302
  NPD
• Ton Santa Rosa Health Center

  dba Santa Rosa Health Center

  • Federal Public Health Clinic/Center
  • Sells, AZ
  • NPI 1770581639
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1558385666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S WESTERN AVE",
            "address_2": "C/O: CREDENTIALING",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988558803",
            "telephone_number": "509-486-3144",
            "fax_number": "509-486-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WESTERN AVE",
            "address_2": "C/O: CREDENTIALING",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "98855",
            "telephone_number": "509-486-2151",
            "fax_number": "509-486-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14701 179th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721108",
            "country_code": "US",
            "telephone_number": "206-782-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00020703",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "MD00020703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558385666",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbra Adkins-Brown
• Gretchen Renee Aguilar, ARNP, FNP-C
• Timothy Charles Alley, LMP
• Dalia M Benitez
• Sarah Beyler, RDN
• Emilie Rose Blakley, LMP
• Grayson Bosen, PHARMD
• Paula Marie Bowes, PA C
• Krystina Boyko, M.D.

• Emergency Medicine Physician in Tonasket, WA
• Providers in Tonasket, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.