KENNETH J BENNETT MD
NPI 1225019318
Surgery in Saint Louis, MO

Active since November 07, 2005
675 OLD BALLAS RD, STE 100A, SAINT LOUIS, MO 63141(314) 569-2626(314) 569-1711 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Surgery

About KENNETH J BENNETT MD

This page provides the complete NPI Profile along with additional information for Kenneth J Bennett Md, a provider established in Saint Louis, Missouri operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1225019318 assigned on November 2005. The practitioner's primary taxonomy code is 208600000X with license number R4131 (MO). The provider is registered as an organization and their NPI record was last updated 19 years ago. Kenneth J Bennett Md operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Kenneth J Bennett Md. The authorized official of this NPI record is Dr. Kenneth J Bennett Md (President)

NPI
1225019318 Verify this NPI
Provider Legal Name
SURGICAL DIAGNOSTICS & THERAPY LLC
Other Organization Name
KENNETH J BENNETT MD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
675 OLD BALLAS RD STE 100A SAINT LOUIS, MO 63141
Location Phone
(314) 569-2626
Location Fax
(314) 569-1711
Mailing Address
PO BOX 411220 SAINT LOUIS, MO 63141
Mailing Phone
(314) 569-2626
Mailing Fax
(314) 569-1711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2005
Last Update Date
11-01-2007
Code Navigator

A surgeon like Kenneth J Bennett Md treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
R4131
License State
MO
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENNETH J BENNETT MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 569-2626

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A10802MEDICARE UPIN (02) 

Reviews for KENNETH J BENNETT MD

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Sports Medicine)
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Physical Therapist
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Specialist
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Ophthalmology
675 OLD BALLAS RD, SUITE #220
ST LOUIS, MO 63141
Plastic Surgery
675 OLD BALLAS RD, STE 102
CREVE COEUR, MO 63141
Clinic/Center (Primary Care)
675 OLD BALLAS RD, SUITE 103
CREVE COEUR, MO 63141
Preventive Medicine (Occupational Medicine)
675 OLD BALLAS RD, SUITE 200
SAINT LOUIS, MO 63141
Nurse Practitioner (Women's Health)
675 OLD BALLAS RD
SAINT LOUIS, MO 63141
Physical Therapist
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Ophthalmology
675 OLD BALLAS RD, SUITE #220
SAINT LOUIS, MO 63141
Physical Medicine & Rehabilitation
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Physical Therapist
675 OLD BALLAS RD
CREVE COEUR, MO 63141
Nurse Practitioner
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
675 OLD BALLAS RD, SUITE 210
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
675 OLD BALLAS RD, SUITE 100
SAINT LOUIS, MO 63141
Internal Medicine
675 OLD BALLAS RD, SUITE 101
SAINT LOUIS, MO 63141
Physical Therapist
675 OLD BALLAS RD
CREVE COEUR, MO 63141
Physical Therapist
675 OLD BALLAS RD
CREVE COEUR, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225019318, enumerated as an "organization" on November 07, 2005.

The provider is located at 675 OLD BALLAS RD STE 100A SAINT LOUIS, MO 63141 and the phone number is (314) 569-2626.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.