MARY E. BANE (NPI# 1891713103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891713103 |
| Entity Type | Individual |
| Full Name | MARY E. BANE |
| Credential | MD |
| Practice Address |
9000 N Main St Englewood OH 45415-1180 |
| Mailing Address |
9000 N. Main St. Ste. 321 Dayton OH 45429-1185 |
| Practice Telephone | 9374337536 |
| Practice Fax Number | 9374339612 |
| Mailing Telephone | 9378360500 |
| Mailing Fax Number | 9378360636 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35080354B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | 070017198 | 01 |
| OH | HUMANA CHOICE CARE | D80354 | 01 |
| OH | ANTHEM BLUE SHIELD | 3109647743A22 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215262407 | Mary J. Bane | Speech-Language Pathologist | 5390 S Garland Way, Littleton, CO 80123-7447 | 2009-10-06 |
| 1831202423 | Mary E Bane | Psychologist | 1585 Woodlake Drive, Suite 115, Chesterfield, MO 63017 | 2006-08-16 |
| Street Address |
9000 N MAIN ST |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45415-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824725 | Benjamin Deloss Mishler | Family Medicine | 9000 N Main St, Englewood, OH 45415-1180 | 2020-09-01 |
| 1992313431 | Chris Ticknor | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2020-07-21 |
| 1134744378 | Stacey Michelle Callison | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415-1180 | 2020-06-13 |
| 1417576299 | Susan Marie Knapke | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1215556071 | Lindsay Nicole Schultz | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1306352216 | Thomas J Kroner | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-12-15 |
| 1730620709 | Gregory Sutton | Specialist/Technologist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-03-10 |
| 1598201584 | Janette E Dale | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415 | 2017-01-13 |
| 1124560016 | Amy Renee Letts | Nurse Practitioner | 9000 N Main St, Suite 305, Englewood, OH 45415-1180 | 2016-11-09 |
| 1679024475 | Anne Antalovich | Audiologist | 9000 N Main St, Suite 319, Englewood, OH 45415-1180 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
| 1417357922 | Premier Dermatology, LLC | Dermatology | 900 Pine Street 122 / 123, Englewood, FL 34233-0000 | 2014-09-03 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| 1093819369 | Kimberly C Stone | Dermatology | 3701 S Clarkson St, Ste 300, Englewood, CO 80113-3960 | 2006-09-08 |
| 1063493898 | Chang Bae Son | Dermatology | 200 Grand Ave 201, Englewood, NJ 07631-4363 | 2005-11-09 |
| 1134691058 | Dawson Dermatology Group Pllc | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113-2780 | 2018-12-18 |
| 1811472111 | Englewood Dermatology Center | Dermatology | 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 | 2018-10-02 |
| 1104274919 | Forefront Dermatology, S.c. | Dermatology | 5 W Wenger Rd, Englewood, OH 45322 | 2016-06-02 |
| 1922341783 | Jisun Cha Md | Dermatology | 460 Sylvan Ave, Englewood, NJ 07632-2919 | 2013-03-30 |
| 1497010250 | Tanya Nicole Riddle | Dermatology | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2012-07-09 |
| Find all providers in ENGLEWOOD | ||||
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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.