Active NPI 1518167550 Individual Practitioner Male Practitioner

Dr. Jack David Bennett , MD

Pediatrics • Waverly, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jack Bennett, MD is a registered healthcare professional specializing in Pediatrics in Waverly, OH. Practice services are available at 617 S MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

617 S Market St
#2

Waverly, OH 456901654

Telephone 7409411859

Fax 7409411859

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Waverly, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 20.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Waverly, OH (3057 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35067134

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0986429 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 18, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2007

Registered at 617 S MARKET ST, #2, WAVERLY, OH 456901654 (Tel: 7409411859)

📍

Updated Business Mailing Address July 18, 2007

Registered at 617 S MARKET ST, #2, WAVERLY, OH 456901654 (Tel: 7409411859)

👤

Provider Name / Credentials Updated July 18, 2007

Recorded as JACK BENNETT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2007

Pediatrics (License #35067134 in OH)

🟢

Initial NPI Registration & Enumeration July 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518167550

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2007

Last Update: July 18, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

617 S Market St, #2

Waverly, OH 456901654

Phone: 7409411859

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.