Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Douglas Bennett, PA

Individual provider Physician Assistant · NPI 1083085948

Michael Douglas Bennett, PA is a Physician Assistant in Highland Heights, Kentucky. Qualified in 2015, 11 years ago. Practices with Orthocincy Orthopaedics and Sports Medicine PSC, a 164-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
11
Licensed in
KY, OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2626 Alexandria Pike Ste 100
Highland Heights, KY 41076-1530
Phone: (859) 301-2663
Fax: (859) 817-7848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 E Business Way, Cincinnati, OH 45241-2374 — (513) 354-3700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2067 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 50.004487 (OH)

Record details

NPI number1083085948
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 16, 2015
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address560 S Loop Rd, Edgewood, KY 41017-3405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orthocincy Orthopaedics And Sports Medicine Psc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Highland Heights