DR. JOHN A BANTLE (NPI# 1962447532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962447532 |
| Entity Type | Individual |
| Full Name | DR. JOHN A BANTLE |
| Credential | M.D. |
| Practice Address |
10519 Brightstone Dr Midlothian VA 23112-1570 |
| Practice Telephone | 8168078333 |
| Mailing Telephone | 8168078333 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101240013 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010290881 | 05 | |
| VA | 1962447532 | 05 | |
| VA | 010314453 | 05 | |
| VA | 010291020 | 05 | |
| VA | BLUE SHIELD | 204990 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851336101 | John Peter Bantle | Internal Medicine | 516 Delaware Street, Univ. of Mn Phyisicians, Pwb Sixth Floor, Clinic 6a, Minneapolis, MN 55455 | 2006-06-19 |
| Street Address |
10519 BRIGHTSTONE DR |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710338520 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 11603 Midlothian Tpke, Midlothian, VA 23113-2620 | 2016-06-23 |
| 1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
| 1912158635 | Bryan Edward Bledsoe | Emergency Medicine | 6420 Hayes Rd, Midlothian, TX 76065-5235 | 2008-10-01 |
| 1821206871 | Kendall V Thurman | Emergency Medicine | 14118 Ashton Cove Dr, Midlothian, VA 23113-3990 | 2007-05-21 |
| 1376641357 | St Francis Emergency Associates Inc | Emergency Medicine | St Francis Medical Center, Emergency Department, Midlothian, VA 23114 | 2006-09-21 |
| 1659482677 | Christian Jenski | Emergency Medicine | 13911 St. Francis Blvd, #101, Midlothian, VA 23114 | 2006-08-31 |
| 1578588976 | William Watterson | Emergency Medicine | 2410 Pagehurst Drive, Midlothian, VA 23113 | 2006-07-13 |
| 1669461356 | Andrea L Archer | Emergency Medicine | 13710 St Francis Blvd, Midlothian, VA 23114-3267 | 2005-10-17 |
| 1992798714 | Uduak Akan-etuk | Emergency Medicine | 2904 Leatherwood Way, Midlothian, VA 23113-1413 | 2005-08-26 |
| 1245514066 | Bon Secours St. Francis Medical Center, Inc. | Emergency Medicine | 601 Watkins Centre Parkway, Midlothian, VA 23114 | 2011-09-29 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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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.