National Provider Identifier Database

JASON A BENNETT, MD – NPI #1386755809
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

JASON A BENNETT, MD
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT84112-1100
Phone: 801-581-2121
Fax:
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for JASON A BENNETT

NPI Number 1386755809
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 05/25/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME154997
  • LA License #: MD.205664
  • PA License #: MD429260
  • UT License #: 13423479-1205
  • WV License #: 21356
  • FL Medicaid: 114105000
  • LA Medicaid: 2304313
  • MS Medicaid: 03223248
  • OH Medicaid: 2698906
  • PA Medicaid: 1017445660001
  • Other: 1393196 AETNA HMOS
  • Other: 77644605 AETNA PPOS
  • Other: 000000493642 ANTHEM
  • Other: 7905789 CIGNA
  • PA Other: 156840 GATEWAY
  • PA Other: 1904630 HIGHMARK
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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