DR. SUMAN KUMAR BANERJEE (NPI# 1770761595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770761595 |
| Entity Type | Individual |
| Full Name | DR. SUMAN KUMAR BANERJEE |
| Credential | MD |
| Practice Address |
11816 Olde Covington Way Glen Allen VA 23059-5699 |
| Practice Telephone | 8043642095 |
| Mailing Telephone | 8043642095 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2012-08-31 |
| 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 |
0101239875 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
11816 OLDE COVINGTON WAY |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-5699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| 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 |
|---|---|---|---|---|
| 1649582412 | Vasavi Kaliki | Pathology | 4505 Yorkminster Dr, Glen Allen, VA 23060-6157 | 2010-07-09 |
| 1154555183 | Dipti Amit Surve | Pathology | 4820 Garden Spring Ln, Apt#306, Glen Allen, VA 23059-7546 | 2009-05-05 |
| 1891998365 | David Jason Hull | Pathology | 4355 Innslake Dr, Glen Allen, VA 23060-6742 | 2007-06-11 |
| 1962505495 | Arja A Maberry | Pathology | 4355 Innslake Drive, Glen Allen, VA 23060 | 2006-09-07 |
| 1477656999 | Francisco F Macasaet | Pathology | 4355 Innslake Drive, Glen Allen, VA 23060 | 2006-09-07 |
| 1700989860 | Tita Cua Lamm | Pathology | 4355 Innslake Dr, Glen Allen, VA 23060-6742 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821308 | Patricija Zot | Pathology | 1250 E Marshall St # 980662, Richmond, VA 23298-5051 | 2017-06-26 |
| 1508248949 | Rajeswari Jayakumar | Pathology | 403 N. 13th Street, Csc, Richmond, VA 23298 | 2015-06-22 |
| 1891192209 | Pepper Path LLC | Pathology | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1629481700 | David Phillip Lebel II | Pathology | 1 Riverside Cir Ste 105, Roanoke, VA 24016-4961 | 2014-06-06 |
| 1710304761 | Sara Ali Mustafa | Pathology | 3289 Woodburn Rd Ste 220, Annandale, VA 22003-7313 | 2014-03-27 |
| 1215376959 | Angela Yu-jye Wu | Pathology | 1215 Lee Street - Box Number 800214, Charlottesville, VA 22908-0001 | 2013-06-16 |
| 1043529365 | Alden W Dudley Jr. | Pathology | 5909 Winnbrook Dr, Roanoke, VA 24018-7903 | 2010-10-04 |
| 1063737146 | William F. Enos, M.d., Pllc | Pathology | 10300 Spotsylvania Avenue, Suite 130, Fredericksburg, VA 22408 | 2010-04-01 |
| 1992038749 | Gustavo Y. Vargas, M.d., Inc | Pathology | 3906 Bainbridge Blvd, Chesapeake, VA 23324-1610 | 2009-09-11 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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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.