SAMANTHA J BANGA (NPI# 1265743603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265743603 |
| Entity Type | Individual |
| Full Name | SAMANTHA J BANGA |
| Credential | DPM |
| Practice Address |
1330 Cottman Ave Philadelphia PA 19111-3729 |
| Mailing Address |
15 Ridgewood Rd Malvern PA 19355-9629 |
| Practice Telephone | 4843565969 |
| Mailing Telephone | 4843565969 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006188 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1330 COTTMAN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801967088 | Michael Litman | Podiatrist | 1330 Cottman Ave, Philadelphia, PA 19111-3729 | 2006-11-10 |
| 1508378530 | Nancy Artis | Podiatrist | 1330 Cottman Ave, Philadelphia, PA 19111-3729 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1659834604 | Anthony Errico | Podiatrist | 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 | 2019-04-08 |
| 1508388794 | Farhad Foroudi | Podiatrist | 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 | 2017-07-10 |
| 1720460884 | Muhaiminu Hossain | Podiatrist | 240 N Broad St, Philadelphia, PA 19102-1121 | 2015-06-25 |
| 1497161293 | Soyun Victoria Park | Podiatrist | 6628 Souder St, Philadelphia, PA 19149-2206 | 2014-07-01 |
| 1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
| 1588007876 | Complete Foot & Ankle L.L.C. | Podiatrist | 2350 Tremont St, #410, Philadelphia, PA 19115-5030 | 2013-04-17 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1457606865 | David Portonova | Podiatrist | 235 North Broad Street, Philadelphia, PA 19102 | 2012-07-23 |
| 1649568056 | Nekeisha Alexander Abdul-hakim | Podiatrist | 6635 Chew Ave, Philadelphia, PA 19119 | 2011-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on SAMANTHA J BANGA.
| 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.