VISHAL BANTHIA


Address: 1111 Teneyck St, Jackson, MI 49201-2461
Phone: 5172058940

VISHAL BANTHIA (NPI# 1043396559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043396559
Entity Type Individual
Full Name VISHAL BANTHIA
Credential MD
Practice Address 1111 Teneyck St
Jackson
MI 49201-2461
Mailing Address 967 Hammond St
Unit 6
Los Angeles
CA 90069-4431
Practice Telephone 5172058940
Mailing Telephone 9177214306
Enumeration Date 2006-10-27
Last Update Date 2020-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology 4301501683 MI Allopathic & Osteopathic Physicians
Y 207Y00000X Otolaryngology A86814 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A868140 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
9001 Wilshire Blvd, Suite 100, Beverly Hills, CA 902111838 3102783223

Office Location

Street Address 1111 TENEYCK ST
City JACKSON
State MI
Zip Code 49201-2461

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922097492 Stephen L Kirkner Otolaryngology 1111 Teneyck St, Suite 100, Jackson, MI 49201-2461 2005-10-18
1922380286 Deborah F Livingston Audiologist 1111 Teneyck St, Ste 200, Jackson, MI 49201-2461 2011-09-13
1811202948 Said S Sana Otolaryngology 1111 Teneyck St, Jackson, MI 49201-2461 2010-08-12
1316106487 Kim L Greenstein Audiologist 1111 Teneyck St, Suite 200, Jackson, MI 49201-2461 2008-06-04
1689761140 Kimberly Anne Berger Audiologist 1111 Teneyck St, Ste 200, Jackson, MI 49201-2461 2006-10-06
1922109438 Ent Associates of Jackson, P.C. Otolaryngology 1111 Teneyck St, Suite 100, Jackson, MI 49201-2461 2006-09-26
1588610653 Kathleen Mary Hausbeck-miller Audiologist 1111 Teneyck St, Suite 200, Jackson, MI 49201-2461 2006-05-26
1235195231 Alison Erika Gilbert Audiologist 1111 Teneyck St, Suite 200, Jackson, MI 49201-2461 2006-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
Find all providers in zip 49201

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1194973941 Howard B Cheek Otolaryngology 4080 Boxwood Circle, Jackson, MS 39211-6609 2008-09-05
1881712057 Ear Nose & Throat Surgical Group Otolaryngology 764 Lakeland Drive, Suite 200, Jackson, MS 39216-4617 2007-03-27
1811076938 Kyle Ford Gordon Otolaryngology 970 Lakeland Dr Ste 40, Jackson, MS 39216-4640 2006-11-02
1285713305 Andrew Byron Brown IIi Otolaryngology 764 Lakeland Dr Ste 200, Jackson, MS 39216-4617 2006-11-02
1780771956 Tammy Sanders Otolaryngology 1500 E. Woodrow Wilson Ave., Jackson, MS 39216-5199 2006-10-06
1922097492 Stephen L Kirkner Otolaryngology 1111 Teneyck St, Suite 100, Jackson, MI 49201-2461 2005-10-18
1720070535 West Tennessee Ent Clinic, P.a. Otolaryngology 619 Skyline Dr, Jackson, TN 38301-3903 2005-08-17
1245795400 Dr. Patricia A Murphy Pllc Otolaryngology 221 Highway 15 S, Jackson, KY 41339-9600 2019-02-01
1336677624 Wendy Nicole Marino Otolaryngology 764 Lakeland Dr, Jackson, MS 39216-4651 2017-05-31
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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