DR. SAMIK BANERJEE (NPI# 1174942486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174942486 |
| Entity Type | Individual |
| Full Name | DR. SAMIK BANERJEE |
| Credential | M.B.B.S |
| Practice Address |
111 S 11th St Ste 2170 Philadelphia PA 19107-4824 |
| Practice Telephone | 2159556610 |
| Mailing Telephone | 2159556610 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD465730 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 63416 | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 43 New Scotland Ave, Department of Orthopaedic Surgery, Albany, NY 122083412 | 5182623095 |
| Street Address |
111 S 11TH ST STE 2170 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104146364 | Laura Marie Scorr | Psychiatry & Neurology | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2010-06-09 |
| 1245846211 | Morgan Adams | Nurse Anesthetist, Certified Registered | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2020-09-16 |
| 1144874181 | Andrew Kapterian | Registered Nurse | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2019-07-29 |
| 1053818260 | Julia Ellen Burd | Student in an Organized Health Care Education/Training Program | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2018-04-12 |
| 1922555952 | Geetika Kennady | Pediatrics | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2016-09-07 |
| 1134515406 | Benjamin Adison Hendy | Student in an Organized Health Care Education/Training Program | 111 S 11th St Ste 2170, Philadelphia, PA 19107-4824 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
| 1861482424 | Kevin A Gingrich | Orthopaedic Surgery | 216-220 N. Broad Street, 2nd Floor Feinstein Building, Philadelphia, PA 19102-1121 | 2005-10-25 |
| 1952883910 | John Stammers | Orthopaedic Surgery | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4290 | 2018-09-05 |
| 1154738599 | Claudio Diaz Ledezma | Orthopaedic Surgery | 200 Locust St, Apartment 29h, Philadelphia, PA 19106-3914 | 2014-07-17 |
| 1336586379 | Paul Bernard Mckenna | Orthopaedic Surgery | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2013-05-31 |
| 1851684161 | James P Cashman | Orthopaedic Surgery | 925 Chestnut St, Philadelphia, PA 19107-4216 | 2011-05-18 |
| 1174841258 | John Anthony Anderson | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2010-05-13 |
| 1528219334 | James Nace | Orthopaedic Surgery | 4190 City Ave, Pcom-gme, Philadelphia, PA 19131 | 2008-10-10 |
| 1578629572 | Mark Thomas Dillon | Orthopaedic Surgery | 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 | 2006-12-28 |
| 1962515965 | Univ of Penn-orthopedic Surgery | Orthopaedic Surgery | 3400 Spruce St, 2 Silverstein, Philadelphia, PA 19104-4206 | 2006-08-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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| 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.