MARK J BANISTER (NPI# 1316955990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316955990 |
| Entity Type | Individual |
| Full Name | MARK J BANISTER |
| Credential | MD |
| Practice Address |
16 Hospital Road Plymouth Ob/gyn Plymouth NH 03264 |
| Mailing Address |
Po Box 706 Plymouth NH 03264-0706 |
| Practice Telephone | 6035361104 |
| Mailing Telephone | 6034818757 |
| Mailing Fax Number | 6032382163 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 10740 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BB3971377 | 01 | |
| NH | 3072661 | 05 | |
| VT | 0RE5597 | 05 | |
| NH | STATE LICENSE | 10740 | 01 |
| Street Address |
16 HOSPITAL ROAD PLYMOUTH OB/GYN |
| City | PLYMOUTH |
| State | NH |
| Zip Code | 03264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336126903 | Michael Sochat | Emergency Medicine | 16 Hospital Road, Emergency Medicine Department, Plymouth, NH 03264 | 2005-12-27 |
| 1346487956 | Speare Memorial Hospital | Emergency Medicine | 16 Hospital Road, Emergency Medicine, Plymouth, NH 03264 | 2009-01-20 |
| 1568685253 | Ralph Patrick Broadwater | Emergency Medicine | 16 Hospital Road, Emergency Medicine Department, Plymouth, NH 03264 | 2007-04-11 |
| 1184792566 | John Nevin Bentwood | Specialist | 16 Hospital Road, Plymouth, NH 03264 | 2006-12-01 |
| 1205933660 | Kathleen A. Lutter | Dietitian, Registered | 16 Hospital Road, Speare Memorial Hospital, Food & Nutrition Services, Plymouth, NH 03264 | 2006-09-20 |
| 1033229596 | Brittania Mcdonald | Physician Assistant | 16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 | 2006-08-30 |
| 1881602472 | Joseph A Ebner | Obstetrics & Gynecology | 16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 | 2006-08-03 |
| 1316965478 | Joseph Casey | Specialist | 16 Hospital Road, Speare Surgical Services, Plymouth, NH 03264 | 2006-07-17 |
| 1891742375 | John J Jehl | Internal Medicine | 16 Hospital Road, Speare Hospitalist Program, Plymouth, NH 03264 | 2006-05-28 |
| 1952360430 | James Peter Koren | Surgery | 16 Hospital Road, Speare Surgical Services, Plymouth, NH 03264 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
| 1396263448 | Lauren Burke | Specialist/Technologist | 70 Highland Street, Apartment E, Plymouth, NH 03264 | 2017-09-08 |
| 1174053490 | Ryan J. Schreiner | Specialist/Technologist | 19 High Street, Plymouth, NH 03264 | 2017-06-19 |
| 1972044550 | Heidi Schlenz | Counselor | 536 Tenney Mountain Highway, Plymouth, NH 03264 | 2017-03-15 |
| 1568900892 | Molly Quigley | Specialist/Technologist | 457 North Road, North Sutton, NH 03264 | 2017-02-07 |
| 1982082004 | Erin Marie Klasen-orr | Social Worker | 258 Highland Street, Plymouth, NH 03264 | 2015-05-08 |
| 1578876967 | Bridget Powers | Speech-Language Pathologist | 39 Clay Brook Dr., Plymouth, NH 03264 | 2010-07-14 |
| 1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
| Find all providers in zip 03264 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083056873 | Jordan Physician Associates, Inc | Obstetrics & Gynecology | 46 Obery Street, Plymouth, MA 02360 | 2013-07-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376686832 | Sanford E Leslie | Obstetrics & Gynecology | 147 Court St, Plymouth, MA 02360-3807 | 2007-02-15 |
| 1114083045 | Joel J Baron | Obstetrics & Gynecology | 2 Driftwood Ln, Plymouth, MA 02360-2094 | 2006-12-28 |
| 1275693772 | Deborah S Wooten-angelo | Obstetrics & Gynecology | 101 Court St, 4th Floor Unit 8, Plymouth, MA 02360-8718 | 2006-12-12 |
| 1598785073 | Bora Ozguler | Obstetrics & Gynecology | 16510 Pretty Lake Rd, Suite 106, Plymouth, IN 46563-8264 | 2006-07-20 |
| 1508817891 | Juliann Corsini | Obstetrics & Gynecology | 110 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2006-05-12 |
| 1962477224 | Maryanne C Bombaugh | Obstetrics & Gynecology | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2006-02-21 |
| 1982688008 | John Ray Addy | Obstetrics & Gynecology | 13200 Cambridge Ct, Plymouth, MI 48170-3099 | 2005-12-01 |
| 1356324057 | Plymouth Ob-gyn Associates Inc | Obstetrics & Gynecology | 101 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2005-11-28 |
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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.