DR. THOMAS CLARK BANEVER


Address: 100 Retreat Ave, Suite 808, Hartford, CT 06106-2528
Phone: 8602499189

DR. THOMAS CLARK BANEVER (NPI# 1992799498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992799498
Entity Type Individual
Full Name DR. THOMAS CLARK BANEVER
Credential M.D.
Practice Address 100 Retreat Ave
Suite 808
Hartford
CT 06106-2528
Practice Telephone 8602499189
Practice Fax Number 8602499180
Mailing Telephone 8602499189
Mailing Fax Number 8602499180
Enumeration Date 2005-09-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 016245 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 00162452 05

Office Location

Street Address 100 RETREAT AVE
SUITE 808
City HARTFORD
State CT
Zip Code 06106-2528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114926169 Scott Bernstein, Md, LLC Internal Medicine 100 Retreat Ave, Suite 902, Hartford, CT 06106-2528 2005-07-20
1568075380 Abbey Stackpole Pharmacist 100 Retreat Ave, Hartford, CT 06106-2528 2020-08-31
1821537770 Lindsey Belliveau Physician Assistant 100 Retreat Ave, Suite 705, Hartford, CT 06106 2017-02-13
1407398712 Quest Diagnostics LLC Clinical Medical Laboratory 100 Retreat Ave, Suite 408, Hartford, CT 06106-2528 2016-11-17
1720405715 Bradley Jerson Psychologist 100 Retreat Ave, Hartford Hospital Child Psychiatry, Div of Psychology, Hartford, CT 06106-2528 2014-03-27
1174957476 Madeline Munn Nurse Practitioner 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 2013-08-22
1053758128 Ashley E Young Obstetrics & Gynecology 100 Retreat Ave, Suite 201, Hartford, CT 06106-2528 2013-05-30
1083058671 Jordan Hammer Kunkes Internal Medicine 100 Retreat Ave, Hartford, CT 06106 2013-04-25
1568709731 Pranvera Dautaj Nurse Practitioner 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 2013-01-08
1851644801 Starling Physicians PC Nurse Practitioner 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 2012-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467544239 Connecticut Surgeons, LLC Surgery 95 Woodland St, Second Floor, Hartford, CT 06105 2006-09-29
1376657080 Ibrahim M Daoud Surgery 95 Woodland St Fl 2, Hartford, CT 06105 2006-08-18
1568475051 John M Dasilva Surgery 290 Collins St, Hartford, CT 06105-1549 2006-08-14
1417903766 Kenneth Thomas Johnson Surgery 151 Farmington Ave, Hartford, CT 06156-0001 2006-05-26
1265482384 Youssef Moussa Horanieh Surgery 95 Woodland Street, Breast Center, Hartford, CT 06105-0000 2006-05-11
1336199736 Narasimhan Chandra Narayanan Surgery 500 Blue Hills Ave, Wound Care Center, Hartford, CT 06112-1500 2006-05-10
1154309292 Janna Reddy Pathi Surgery 1215 Old Main St, Oc Surgery Clinic, Hartford, KY 42347-1619 2006-01-09
1316471014 Lindsay Lynch Surgery 80 Seymour Street, Bliss Wing, Suite 703, Hartford, CT 06102 2017-04-19
1013396522 Olivier Van Houtte Surgery 114 Woodland St, Hartford, CT 06105-1208 2015-05-29
1922407238 Saint Francis Medical Group, Inc. Surgery 1000 Asylum Ave, Suite 4320, Hartford, CT 06105-1770 2014-08-22
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Competitor

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City HARTFORD
Zip Code 06106

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Dataset Information

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.

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