Individual
JASON A. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-2121
Mailing address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13423479-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
21356
WV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.205664
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD429260
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME154997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493642
ANTHEM
—
05
—
03223248
—
MS
05
—
1017445660001
—
PA
05
—
114105000
—
FL
01
—
1393196
AETNA HMOS
—
01
—
156840
GATEWAY
PA
01
—
1904630
HIGHMARK
PA
05
—
2304313
—
LA
05
—
2698906
—
OH
01
—
77644605
AETNA PPOS
—
01
—
7905789
CIGNA
—
Enumeration date
08/31/2006
Last updated
05/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us