MARIETTA A BANOGON (NPI# 1891780375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891780375 |
| Entity Type | Individual |
| Full Name | MARIETTA A BANOGON |
| Credential | MD |
| Practice Address |
4700 Union Deposit Rd Harrisburg PA 17111-3774 |
| Practice Telephone | 7176526605 |
| Mailing Telephone | 7176526605 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2010-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD034590L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4700 UNION DEPOSIT RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741013 | Yoke Y Tan | Pediatrics | 4700 Union Deposit Rd, Ste 220, Harrisburg, PA 17111-3774 | 2005-06-27 |
| 1932519410 | Alexander Richard Szeles II | Ophthalmology | 4700 Union Deposit Rd, Ste 220, Harrisburg, PA 17111-3774 | 2014-05-05 |
| 1063850782 | Pinnacle Health Medical Services | Nurse Practitioner | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2013-06-05 |
| 1114290848 | Pinnacle Health Medical Group Inc | Physician Assistant | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2012-02-10 |
| 1306148580 | Jaimini K Patel | Dietitian, Registered | 4700 Union Deposit Rd, Suite 240 (hershey Kidney Specialists, Inc.), Harrisburg, PA 17111-3774 | 2010-11-22 |
| 1346565090 | Barry A Sherman, Dds | Dentist | 4700 Union Deposit Rd, Suite 210, Harrisburg, PA 17111-3774 | 2010-04-06 |
| 1205167863 | Apex Dental Smiles Corp. | Dentist | 4700 Union Deposit Rd, Suite 210, Harrisburg, PA 17111-3774 | 2010-01-21 |
| 1558515809 | Heritage Medical Group, LLP | Physician Assistant | 4700 Union Deposit Rd, Suite 120, Harrisburg, PA 17111-3774 | 2008-11-13 |
| 1891953592 | Suneetha Vaddineni | Internal Medicine | 4700 Union Deposit Rd, Suite 240, Harrisburg, PA 17111-3774 | 2008-05-29 |
| 1851410633 | Kara Garcia | Pediatrics | 4700 Union Deposit Rd, Ste. 220, Harrisburg, PA 17111-3774 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174826457 | William Michael Mccall | Obstetrics & Gynecology | 417 Trudy Rd, Harrisburg, PA 17109-2927 | 2010-12-08 |
| 1568764181 | Lawrence B. Silver | Obstetrics & Gynecology | 4307 S Victoria Way, Harrisburg, PA 17112-8633 | 2010-12-02 |
| 1376704700 | Manjon Gynecology PC | Obstetrics & Gynecology | 2416 Green Strreet, Harrisburg, PA 17110 | 2008-06-18 |
| 1104048487 | Amber C O'leary | Obstetrics & Gynecology | 121 N Nyes Rd Ste C, Harrisburg, PA 17112-3248 | 2007-05-03 |
| 1912032400 | Michele Alotta | Obstetrics & Gynecology | 8924 St. George's Square, Harrisburg, NC 28075 | 2007-02-23 |
| 1497719587 | Holly J Thomas | Obstetrics & Gynecology | 2645 N 3rd St Fl 4, Harrisburg, PA 17110 | 2006-04-14 |
| 1760443196 | Jean M. Hauser | Obstetrics & Gynecology | 409 S 2nd St, Suite 3f, Harrisburg, PA 17104-1612 | 2006-03-28 |
| 1194703421 | Hanford Ndlovu | Obstetrics & Gynecology | 100 S 2nd St Ste 4a, Harrisburg, PA 17101-2542 | 2006-01-06 |
| 1962497628 | Jose M Manjon | Obstetrics & Gynecology | 4300 Londonderry Rd Ste 305, Harrisburg, PA 17109-5317 | 2005-09-19 |
| 1124635933 | Mason J Carp Md | Obstetrics & Gynecology | 4212 Linglestown Rd, Harrisburg, PA 17112-1025 | 2020-09-25 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
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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.