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MARK KENNETH BENNETT PA-C NPI 1871859223


NPI Information

NPI: 1871859223
Provider Name: MARK KENNETH BENNETT, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
4403 HARRISON BLVD
SUITE 1815
OGDEN, UT
ZIP 84403
Phone: (801) 387-6520
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Mark Kenneth Bennett, PA-C is a surgical physician assistant in Ogden, UT with 13 years of experience. Mark Kenneth Bennett, PA-C NPI is 1871859223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4403 HARRISON BLVD
SUITE 1815
OGDEN, UT
ZIP 84403-339
Phone: (801) 387-6520
Fax: (801) 387-6525

The NPI 1871859223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)

The enumeration date for this NPI number is 4/10/2012 and was last updated on 9/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical8134401-8906UTAHNo
2363AS0400XPhysician AssistantSurgical8134401-1206UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.