EVGENIYA BANINA (NPI# 1205280427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205280427 |
| Entity Type | Individual |
| Full Name | EVGENIYA BANINA |
| Credential | M.D. |
| Practice Address |
304a E 4th St Eldon MO 65026 |
| Mailing Address |
701 W 5th St Odessa TX 79763-4206 |
| Practice Telephone | 5733925654 |
| Practice Fax Number | 5733925692 |
| Mailing Telephone | 4327035375 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2019024533 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 W 5th St, Odessa, TX 797634206 | 4327035375 | |
| 2333 Highway 17, Iberia, MO 654869331 | 5737936900 | 5737936688 |
| Street Address |
304A E 4TH ST |
| City | ELDON |
| State | MO |
| Zip Code | 65026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835303 | Paul Bernabe | Family Medicine | 304a E 4th St, Eldon, MO 65026-1808 | 2005-07-20 |
| 1679114722 | Kayla Jean Blaes | Nurse Practitioner | 304a E 4th St, Eldon, MO 65026-1808 | 2019-09-30 |
| 1639584139 | Rene L. Revelle | Nurse Practitioner | 304a E 4th St, Eldon, MO 65026-1808 | 2014-06-24 |
| 1104096429 | Henry Keiler Bluhm Jr. | Physician Assistant | 304a E 4th St, Eldon, MO 65026 | 2008-03-03 |
| 1053427492 | Lake Regional Health System | Clinic/Center | 304a E 4th St, Eldon, MO 65026-1808 | 2006-08-21 |
| 1194758011 | Christine Ann Livek | Family Medicine | 304a E 4th St, Eldon, MO 65026-1808 | 2006-07-07 |
| 1548205966 | Laura M Thompson | Nurse Practitioner | 304a E 4th St, Eldon, MO 65026-1808 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235200965 | King Dental Clinic | Dentist | 102 East 9th Street, Eldin, MO 65026 | 2006-11-13 |
| 1154408425 | Miller County Ambulance District | Ambulance | 1304 South Aurora St., Eldon, MO 65026 | 2006-11-01 |
| 1285742684 | Malcolm J Dickerson | Family Medicine | 411 W 4th, Eldon, MO 65026 | 2006-08-26 |
| 1518908953 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 410 E North St, Eldon, MO 65026 | 2006-06-09 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| 1225024839 | Julie L. Russell | Nurse Practitioner | 304 A East 4th St, Eldon, MO 65026 | 2005-09-20 |
| 1770090490 | Lisa Renee Zaritz | Counselor | 206 S Mill St, Eldon, MO 65026 | 2018-01-03 |
| 1912417502 | Richard Mark Anderegg | Counselor | 206 S Mill St, Eldon, MO 65026 | 2017-10-09 |
| 1457888901 | Tiffany George | Counselor | 206 S Mill St, Eldon, MO 65026 | 2017-05-16 |
| 1972575694 | Michael Scott Griswold | Family Medicine | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-06 |
| Find all providers in zip 65026 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1699385757 | Mark Steven Routburg | Internal Medicine | 509 Sgt Pepper Dr, Saint Peters, MO 63376-2441 | 2020-08-04 |
| 1063020626 | Mazin Hazim Kamil | Internal Medicine | 15 Remington Place Ct, Ballwin, MO 63021-6369 | 2020-07-20 |
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
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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.