Philip R Banghart (NPI# 1982609087, PAC ID# 5193884534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1982609087 |
| PAC ID by PECOS | 5193884534 |
| Professional Enrollment ID | I20081030000324 |
| Full Name | Philip R Banghart |
| Organization Legal Name | AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY LTD |
| Address |
3112 Village Office Pl Champaign IL 61822-7680 |
| Phone Number | 2173517111 |
| Gender | M |
| Medical School | UNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY |
| Graduation Year | 1988 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 0345309779 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3112 Village Office Pl, Champaign, IL 61822-7680 | 2173517111 | AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY LTD |
| Organization Legal Name | AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theron C Waisath | Maxillofacial Surgery | Affiliates In Oral and Maxillofacial Surgery Ltd | 3112 Village Office Pl, Champaign, IL 61822-7680 |
| Street Address |
3112 VILLAGE OFFICE PL |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61822-7680 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theron C Waisath | Maxillofacial Surgery | Affiliates In Oral and Maxillofacial Surgery Ltd | 3112 Village Office Pl, Champaign, IL 61822-7680 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Twenhafel | Optometry | Jak Enterprises Inc | 907 W Marketview Dr, Champaign, IL 61822-1227 |
| Kerra Meyers | Nurse Practitioner | Osf Multi-specialty Group | 2710 N Prospect Ave, Champaign, IL 61822-1298 |
| Kathleen E El Koury | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Todd F Harrison | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Angela L Jackson | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Parin Patel | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Davendra P Ramkumar | Gastroenterology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Sarah A Spizzirri | Podiatry | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Douglas S. Bull | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Chris W. Schmidt | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Find all physicians in zip 61822 | |||
| City | CHAMPAIGN |
| Zip Code | 61822 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | CHAMPAIGN + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Philip R Banghart.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.