DR. CHAIM BANJO (NPI# 1588730121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588730121 |
| Entity Type | Individual |
| Full Name | DR. CHAIM BANJO |
| Credential | MD PHD |
| Practice Address |
2379 Gus Thomasson Rd #100 Mesquite TX 75150-5302 |
| Practice Telephone | 9726867947 |
| Practice Fax Number | 9726867949 |
| Mailing Telephone | 9726867947 |
| Mailing Fax Number | 9726867949 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G4442 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 109453401 | 05 | |
| TX | BCBS | 82G516 | 01 |
| TX | 128058803 | 05 | |
| TX | BCBS | 00G25 | 01 |
| TX | 128058804 | 05 | |
| TX | BCBS | 85A011 | 01 |
| TX | 128058802 | 05 |
| Street Address |
2379 GUS THOMASSON RD #100 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75150-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377893 | Aaron L. Kreisler | Pediatrics | 2379 Gus Thomasson Rd, Ste 200, Mesquite, TX 75150 | 2005-06-22 |
| 1275906356 | Comprehensive Pediatric Care | Pediatrics | 2379 Gus Thomasson Rd, #200, Mesquite, TX 75150-5302 | 2015-11-11 |
| 1679750202 | Rosemary Ann Cannon | Nurse Practitioner | 2379 Gus Thomasson Rd, Suite 200, Mesquite, TX 75150-5302 | 2008-01-25 |
| 1902978950 | Beata Walenda | Internal Medicine | 2379 Gus Thomasson Rd, Suite 300, Mesquite, TX 75150-5302 | 2006-11-14 |
| 1609948652 | Piotr Waldemar Jakubowski | Internal Medicine | 2379 Gus Thomasson Rd, Suite 300, Mesquite, TX 75150-5302 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630991 | Affordable Home Health Care | Home Health | 3637 E. Us. Highway 80, Mesquite, TX 75150 | 2020-08-21 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1578109542 | Phyllis Renee Cephas | Counselor | 2200 N. Belt Line Road, #728, Mesquite, TX 75150 | 2019-11-25 |
| 1033766068 | Darryl E Richmond Jr. | Physical Therapist | 2578 N Galloway Ave, 100, Mesquite, TX 75150 | 2019-08-23 |
| 1922666916 | Jd Mesquite Dental Pllc | Dentist | 909 Tripp Rd Ste 190, Mesquite, TX 75150 | 2019-06-04 |
| 1134681349 | Champions Rehabilitation, LLC | Clinic/Center | 1675 Republic Parkway Suite 201, Mesquite, TX 75150 | 2019-04-05 |
| 1205317351 | Sheila Katherine Bartley | Occupational Therapist | 3617 O'hare Dr., Mesquite, TX 75150 | 2018-08-27 |
| 1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
| 1053890244 | Barbara Mohrle | Occupational Therapist | 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 | 2018-08-09 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| Find all providers in zip 75150 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1558514737 | Heart Health Center of North Texas | Internal Medicine | 1600 Republic Pkwy Ste 100, Mesquite, TX 75150-6919 | 2008-10-31 |
| 1568428381 | Mesquite Heart Center, P.a. | Internal Medicine | 1601 N. Belt Line Rd., Suite C, Mesquite, TX 75149-1791 | 2006-04-21 |
| 1669438552 | Prem S Pillay | Internal Medicine | 1601 N Belt Line Rd Ste C, Mesquite, TX 75149-1791 | 2006-04-21 |
| 1972573376 | Marun S Haddad | Internal Medicine | 5308 North Galloway Avenue, Suite 100, Mesquite, TX 75150 | 2006-01-26 |
| 1548230378 | Norvin G Parr IIi | Internal Medicine | 5308 North Galloway Ave, Suite 100, Mesquite, TX 75150 | 2006-01-24 |
| 1932190956 | Neeraj Arora | Internal Medicine | 5308 N Galloway Ave, Suite 100, Mesquite, TX 75150-1122 | 2005-10-31 |
| 1588620884 | Saleem H Mallick | Internal Medicine | 1601 N Belt Line Rd Ste C, Mesquite, TX 75149-1791 | 2006-04-25 |
| 1578527727 | Mohammad N Khan | Internal Medicine | 1600 Republic Pkwy, Suite 100, Mesquite, TX 75150-6918 | 2006-04-14 |
| 1770553174 | Larry C Moore | Internal Medicine | 5308 North Galloway Ave, Suite 100, Mesquite, TX 75150 | 2006-01-26 |
| 1104896844 | Srinivas R Gunukula | Internal Medicine | 5308 North Galloway Ave, Suite 100, Mesquite, TX 75150 | 2006-01-25 |
| Find all providers in MESQUITE | ||||
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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.