Richard A Bennek, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

028342 Issued in CT

Practice address

50 Hospital Hill Drive
ER Department
Sharon, CT 06069

Phone

(800) 795-5820

Fax

(616) 975-9728

NPI assigned

Jun 18, 2006

Last updated

Apr 16, 2008By 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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Eos Medical Group PC

  • Emergency Medicine Physician
  • Carmel, NY
  • NPI 1730119926
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1720023294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "06039",
            "telephone_number": "800-795-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL HILL DRIVE",
            "address_2": "ER DEPARTMENT",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "06069",
            "telephone_number": "800-795-5820",
            "fax_number": "616-975-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNEK",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CT",
            "license": "028342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atka Mackerel Inpatient Services LLC
• Alanda A Babbitt, PT
• Armen Todd Babigian, M.D.
• Jessica Bannerman, OTR/L
• Alexis Stauder Bell, DO
• MD Refayat Bhuiyan, DO
• Virginia Block
• Blue Stone Natural Health LLC
• Malcolm Michael Brown, M.D.
• Sabina Busby, PT, DPT, WCS, NCPT

• Emergency Medical Services (Emergency Medicine) Physician in Sharon, CT
• Providers in Sharon, CT by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.