John Anthony Bennett, CCP

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

FPF02000089 Issued in TX

Practice address

14603 Huebner Rd Ste 28101
San Antonio, TX 78230-5497

Phone

(210) 614-7074

NPI assigned

May 22, 2019

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

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 and National Provider Directory roles.

• Elan Elite

  • Surgical Physician Assistant
  • San Antonio, TX
  • NPI 1346693348
  NPD (past)
• Evt, Inc

  • Cardiovascular Specialist/Technologist
  • San Antonio, TX
  • NPI 1235469941
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1962069161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD STE 28101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305497",
            "telephone_number": "210-614-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD STE 28101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305497",
            "telephone_number": "210-614-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "TX",
            "license": "FPF02000089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elston Bennett
• Emma Bennett, LCSW
• Gabriel Arlen Bennett, RN
• Girly Bennett, M.D.
• Jason M. Bennett, M.D.
• Kinneathea Denisha Bennett, NURSE PRACTITIONER
• Linda Bennett, LCSW
• Marcie Bennett, P.A.
• Penny Bennett, PHD, MSN, NNP-BC, FN
• Robert Daniel Bennett, MD

• Perfusionist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Perfusionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.