DR. NICHOLAS BANDARENKO III (NPI# 1285729913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285729913 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS BANDARENKO III |
| Credential | MD |
| Practice Address |
1000 Trent Drive Durham NC 27710-0001 |
| Mailing Address |
4101 N Roxboro St Durham NC 27704-2121 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
95-01170 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8912952 | 05 |
| Street Address |
1000 TRENT DRIVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991090 | Maria J Small | Obstetrics & Gynecology | 1000 Trent Drive, Durham, NC 27710-0001 | 2005-12-02 |
| 1538332903 | Anne F Buckley | Pathology | 1000 Trent Drive, Durham, NC 27710-0001 | 2008-04-08 |
| 1427230754 | Amy Elliott Powell | Social Worker | 1000 Trent Drive, Durham, NC 27710-0001 | 2007-11-28 |
| 1659570984 | Susan S. Kleckley | Social Worker | 1000 Trent Drive, Durham, NC 27710-0001 | 2007-07-17 |
| 1942421219 | Gwen O'grady | Audiologist | 1000 Trent Drive, Durham, NC 27710-0001 | 2007-05-02 |
| 1326173162 | Patricia Ann Payne | Advanced Practice Midwife | 1000 Trent Drive, Durham, NC 27710-0001 | 2007-02-22 |
| 1891839858 | Mary B Duffy | Dentist | 1000 Trent Drive, Durham, NC 27710-0001 | 2007-02-16 |
| 1851468300 | Chris Cabell | Internal Medicine | 1000 Trent Drive, Durham, NC 27610 | 2006-11-29 |
| 1780759365 | Bryan Batch | Internal Medicine | 1000 Trent Drive, Durham, NC 27710-0001 | 2006-11-21 |
| 1497839559 | Francis J Keefe | Psychologist | 1000 Trent Drive, Durham, NC 27710-0001 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1518128511 | Jessica Lynne Poisson | Pathology | 1720 Duke Hospital N, Durham, NC 27710-0001 | 2008-06-23 |
| 1982879821 | John Michael Childs | Pathology | Duke University Dept of Pathology, Dumc 3712, Durham, NC 27710-0001 | 2008-04-22 |
| 1447424619 | Allison Haberstroh Hall | Pathology | Allison Hall, Dumc Box 3712, Durham, NC 27710-0001 | 2008-04-17 |
| 1417593971 | Acme Pathology and Laboratory, Pllc | Pathology | 331 W Main St Ste 503, Durham, NC 27701-3244 | 2019-11-20 |
| 1538694161 | Laura Pope Hale | Pathology | 40 Medicine Cir, 207a Davison Building (box 3712 Dumc), Durham, NC 27710-0001 | 2017-04-20 |
| 1093198343 | Rachel Jug | Pathology | Duke University Medical Ctr, Department of Pathology, Dumc 3712, Durham, NC 27710-0001 | 2015-07-06 |
| 1992144935 | Xuefeng Zhang | Pathology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-06-24 |
| 1659614675 | John Michael Carney | Pathology | 2301 Erwin Rd, Durham, NC 27710-2912 | 2013-03-27 |
| 1467750711 | Naomi Lynn Ferguson | Pathology | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2011-03-10 |
| Find all providers in DURHAM | ||||
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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.