DR. GRACE DOLORES BANDOW (NPI# 1871709147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871709147 |
Entity Type | Individual |
Full Name | DR. GRACE DOLORES BANDOW |
Credential | M.D. |
Practice Address |
1180 Hope St Bristol RI 02809-1126 |
Practice Telephone | 4012538900 |
Practice Fax Number | 4012533131 |
Mailing Telephone | 4012538900 |
Mailing Fax Number | 4012533131 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2012-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 2004011761 | MO | Allopathic & Osteopathic Physicians |
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD13871 | RI | Allopathic & Osteopathic Physicians |
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
253433-1 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | NEIGHBORHOOD HEALTH PLAN OF RI | 314006 | 01 |
RI | HARVARD PILGRIM | AA264676 | 01 |
RI | GB89470 | 05 | |
RI | BLUE CROSS BLUE SHIELD | 1871709147 | 01 |
RI | RAILROAD MEDICARE PTAN | C14050 | 01 |
Street Address |
1180 HOPE ST |
City | BRISTOL |
State | RI |
Zip Code | 02809-1126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467453431 | Geoffrey Robert Hamilton | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2005-08-02 |
1639793441 | Andrew Sakovits | Optometrist | 1180 Hope St, Bristol, RI 02809-1126 | 2020-06-08 |
1376049379 | Kara E Frade | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2018-03-30 |
1578924460 | Ana Paula Silva | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2016-03-19 |
1780937474 | Alexander Robert Pease | Pharmacist | 1180 Hope St, Bristol, RI 02809-1126 | 2012-10-18 |
1467712349 | Sarah M Riedo | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2012-05-24 |
1649544610 | Nicholas Paul Pelletier | Physician Assistant | 1180 Hope St, Bristol, RI 02809-1126 | 2012-03-08 |
1760769640 | John Wescott | Massage Therapist | 1180 Hope St, Bristol, RI 02809-1126 | 2011-11-07 |
1265721054 | Reuben Harel Reich | Dermatology | 1180 Hope St, Bristol, RI 02809-1126 | 2011-04-01 |
1518298272 | Maria Lola Cevallos Alomia | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2010-01-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598246068 | Maryann Bishop | Physical Therapist | 7 Creek Lane, Bristol, RI 02809 | 2018-08-23 |
1063913127 | Melanie Hopper Koppelman | Acupuncturist | Harbor Integrative Health, LLC, 60 Poppasquash Road, Bristol, RI 02809 | 2018-02-23 |
1871011478 | Ashley Hayes Pereira | Occupational Therapist | 31 Duffield Rd, Bristol, RI 02809 | 2017-09-03 |
1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
1174829873 | Meghan Elizabeth Martorana | Dietitian, Registered | 685 Metacom Avenue, Bristol, RI 02809 | 2011-01-28 |
1881909794 | Hoffmann Chiropractic Inc | Chiropractor | 450 Hope Street, Bristol, RI 02809 | 2010-08-16 |
1558555961 | Michael James Allen | Dentist | 36 Bradford Street, Bristol, RI 02809 | 2007-08-29 |
1033309141 | Melinda Mary Allaire | Physical Therapist | 2 Ruth Ave, Bristol, RI 02809 | 2007-07-26 |
1033240726 | Emily Snow Delconte | Dietitian, Registered | 685 Metacom Ave, Bristol, RI 02809 | 2007-03-07 |
1881756203 | Warren Dental Associates Inc | Dentist | 634 Main Street, Warren, RI 02809 | 2006-12-14 |
Find all providers in zip 02809 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437318607 | Amylynne J Frankel | Dermatology | 1524 Atwood Ave Ste 321, Johnston, RI 02919-3228 | 2008-06-03 |
1548200074 | Susan C Kelly | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2006-06-06 |
1851573760 | Sue Kelly Dermatology, LLC | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2007-12-03 |
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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.