JAMES C BANICH (NPI# 1801087044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801087044 |
| Entity Type | Individual |
| Full Name | JAMES C BANICH |
| Credential | MD |
| Practice Address |
9348 Grand Cordera Pkwy Ste 160 Colorado Springs CO 80924 |
| Mailing Address |
9348 Grand Cordera Pkwy Ste 160 Colorado Springs CO 80924-7023 |
| Practice Telephone | 7193551585 |
| Practice Fax Number | 7196232983 |
| Mailing Telephone | 7193551585 |
| Mailing Fax Number | 7196232983 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | DR0059047 | CO | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 49990 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAIL ROAD MEDICARE | P01962213 | 01 |
| CO | 1801087044 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Bellinger St, Eau Claire, WI 547035222 | 7158385222 | |
| 2620 Tenderfoot Hill St Ste 110, Colorado Springs, CO 809068356 | 7193551585 | 7196232983 |
| 5700 N Elizabeth St, Pueblo, CO 810082166 | 7193551585 | 7196232983 |
| Street Address |
9348 GRAND CORDERA PKWY STE 160 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538354 | Vanguard Medical Specialists LLC | Dermatology | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2020-04-28 |
| 1982258562 | Landon Scott Barton | Physician Assistant | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2019-07-31 |
| 1265819429 | Joseph Neal Cari | Physician Assistant | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2015-04-27 |
| 1518233972 | Maria Sheron | Dermatology | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2012-03-29 |
| 1336456151 | Emily Jane Reynolds | Nurse Practitioner | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2010-09-01 |
| 1518295120 | Megan Lewis Stimpson | Physician Assistant | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2009-11-20 |
| 1912161589 | Kimberley Shea Kersh | Physician Assistant | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924-7023 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
| 1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
| 1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
| 1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
| 1992883441 | Sara Jean Thinger | Physical Therapist | 9110 Lookout Mountain Ct, Colorado Springs, CO 80924 | 2006-11-01 |
| Find all providers in zip 80924 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619138310 | Nancy Wong | Plastic Surgery | 1625 Medical Center Pt Ste 220, Colorado Springs, CO 80907 | 2008-06-24 |
| 1427258771 | Lester M. Cramer, M.d. and Associates, P.C. | Plastic Surgery | 2203 N. Weber St., Colorado Springs, CO 80907-3979 | 2007-07-24 |
| 1629193958 | Alfred C. Speirs | Plastic Surgery | 1490 W Fillmore St, Colorado Springs, CO 80904-1166 | 2007-03-19 |
| 1710073424 | Krishna Dash | Plastic Surgery | 2438 Research Pkwy Ste 100, Colorado Springs, CO 80920-1094 | 2006-10-04 |
| 1598850810 | Rupesh Jain | Plastic Surgery | 7606 N Union Blvd., Ste A, Colorado Springs, CO 80920 | 2006-10-03 |
| 1053376152 | Douglas Jay Raskin | Plastic Surgery | 559 E Pikes Peak Ave, #209, Colorado Springs, CO 80903-3651 | 2006-04-20 |
| 1134104441 | Facial Plastic Surgery Center of Colorado Springs, PC | Plastic Surgery | 6 Elm Ave Ste 150, Colorado Springs, CO 80906-3131 | 2005-12-09 |
| 1962498717 | Colorado Springs Plastic Surgery | Plastic Surgery | 2727 N Tejon St, Colorado Springs, CO 80907-6231 | 2005-09-26 |
| 1902407968 | Facial Plastic Surgery Center of Colorado Springs, PC | Plastic Surgery | 5623 Pulpit Peak Vw, Colorado Springs, CO 80918-3954 | 2020-11-05 |
| 1386245348 | Facial Plastic Surgery Center of Colorado Springs, PC | Plastic Surgery | 3030 N Circle Dr, Colorado Springs, CO 80909-1177 | 2020-11-05 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
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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.