SUHAIL M BANISTER (NPI# 1831169911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831169911 |
| Entity Type | Individual |
| Full Name | SUHAIL M BANISTER |
| Credential | M.D. |
| Practice Address |
4700 Schaefer Rd Dearborn MI 48126-3698 |
| Mailing Address |
5701 Hartwell St Apt. 305 Dearborn MI 48126-2200 |
| Practice Telephone | 3135812600 |
| Practice Fax Number | 3135810228 |
| Mailing Telephone | 3135840532 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2012-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301067035 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 350Q264320 | 01 |
| MI | 3225612 | 05 |
| Street Address |
4700 SCHAEFER RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820986 | Western Wayne Family Health Centers | Clinic/Center | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2019-09-18 |
| 1497279020 | Molina Medical Group of Michigan, PC | Family Medicine | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-07-26 |
| 1861931941 | Wassim Abouarabi | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-02-22 |
| 1316497761 | Molina Medical Group of Michigan, PC | Clinical Medical Laboratory | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2016-10-10 |
| 1407204134 | Molina Medical Group of Michigan, PC | Obstetrics & Gynecology | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2016-06-03 |
| 1831595040 | Angela Elaine Eburuche | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2014-11-16 |
| 1316368582 | Haya Altown | Physician Assistant | 4700 Schaefer Rd, Dearborn, MI 48126 | 2013-12-13 |
| 1174880736 | Oakwood Dentists P.l.l.c. | Dentist | 4700 Schaefer Rd, #109, Dearborn, MI 48126-3698 | 2012-04-19 |
| 1134492465 | University Physician Group | Eyewear Supplier (Equipment, not the service) | 4700 Schaefer Rd, Suite 260, Dearborn, MI 48126-3698 | 2012-02-16 |
| 1801164355 | Midwest Surgery Center | Clinic/Center | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2011-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245764646 | Randi Schutz | Pediatrics | 4700 Schaefer Rd Ste 245, Dearborn, MI 48126-3743 | 2017-04-12 |
| 1962668756 | Caring Pediatrics | Pediatrics | 7249 Chase Rd, Dearborn, MI 48126-1301 | 2008-08-01 |
| 1629258272 | Dima Al Ta'any | Pediatrics | 18181 Oakwood Blvd Ste 124, Department of Pediatrics/neonatal, Dearborn, MI 48124-5032 | 2007-11-13 |
| 1134312804 | Adnan Ahmed Al-dais | Pediatrics | 14650 W Warren Ave Ste 300, Dearborn, MI 48126-1782 | 2007-08-24 |
| 1194892612 | Care Pediatrics Pllc | Pediatrics | 1000 N Telegraph Rd, Dearborn, MI 48128-1622 | 2006-11-29 |
| 1942247432 | Daniel Anthony C Frattarelli | Pediatrics | 18181 Oakwood Blvd Ste G101, Dearborn, MI 48124-5031 | 2006-06-01 |
| 1841240538 | Haissam Ghabel El-takech | Pediatrics | 23351 Ford Rd, Dearborn, MI 48128-1258 | 2006-05-11 |
| 1801865183 | Susan Youngs | Pediatrics | 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | 2006-03-17 |
| 1578531927 | Azra Hashmi | Pediatrics | 6401 Miller Rd, Dearborn, MI 48126-2363 | 2006-03-10 |
| 1740255306 | Ibtesam M Rafeea | Pediatrics | 5266 Schaefer Rd, Dearborn, MI 48126-3228 | 2006-02-17 |
| Find all providers in DEARBORN | ||||
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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.