NPIMap

Organization Active NPI

Suzanne MP Bennett DO PC

  • Specialist
  • Glendale, AZ
National Provider Identifier
1992018261
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3258 Issued in AZ
Legal business name
SUZANNE MP BENNETT DO PC
Practice address
18275 N 59TH Ave BLDG H, Ste. 144
Glendale, AZ 85308-1260
Phone
(602) 843-2300
Fax
(602) 843-2310
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. Suzanne Bennett, DO
Title
President
Phone
(602) 843-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3258 AZ Primary

Addresses

Primary practice location

18275 N 59TH Ave BLDG H, Ste. 144
Glendale, AZ 85308-1260

Mailing address

18275 N 59TH Ave BLDG H, 144
Glendale, AZ 85308-1260
Phone (602) 843-2300

National Provider Directory

National Provider Directory

Locations

18275 N 59th Ave
Ste 144H
Glendale, AZ 85308

18275 N 59th Ave
Ste 144
Glendale, AZ 85308
Phone (602) 843-2300

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1992018261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE BLDG H, 144",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-843-2300",
            "fax_number": "602-843-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE BLDG H, STE. 144",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-843-2300",
            "fax_number": "602-843-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE MP BENNETT DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-843-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.