Charles J Banta II (NPI# 1205848512, PAC ID# 5799971446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1205848512 |
| PAC ID by PECOS | 5799971446 |
| Professional Enrollment ID | I20101122000067 |
| Full Name | Charles J Banta II |
| Address |
8220 Walnut Hill Lane Suite 608 Dallas TX 75231-4424 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1986 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450889 | TEXAS INSTITUTE FOR SURGERY AT TEXAS HEALTH PRESBYTERIAN DALLAS |
| 450462 | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS |
| 670073 | METHODIST HOSPITAL FOR SURGERY |
| Address | Phone | Organization |
|---|---|---|
| 8220 Walnut Hill Lane, Suite 608, Dallas, TX 75231-4424 |
| Street Address |
8220 WALNUT HILL LANE SUITE 608 |
| City | DALLAS |
| State | TX |
| Zip | 75231-4424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Beavers | Orthopedic Surgery | 8220 Walnut Hill Lane, Suite 300, Dallas, TX 75231 | |
| Benzel C Macmaster | Orthopedic Surgery | 8220 Walnut Hill Lane, Suite 310, Dallas, TX 75231-4438 | |
| Fadi C Constantine | Plastic and Reconstructive Surgery | 8220 Walnut Hill Lane, Suite 206, Dallas, TX 75231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trisha Jayantilal Patel | Dermatology | Oliver Street 5.01(a) Inc. | 8210 Walnut Hill Lane Pob 1, Suite 810, Dallas, TX 75231 |
| Azra Idrizovic | Ophthalmology | Arvind Neelakantan Md Pa | 9600 N Central Expressway, 300 Glaucoma Center of Texas, Dallas, TX 75231 |
| Alyssa R Spiegel | Physician Assistant | Mindful Dermatology Pa | 9101 N Central Ecpressway, Suite 160, Dallas, TX 75231 |
| Charles F Irwin | Anesthesiology | Anesthesia Partners of Dallas Pa | 8200 Walnut Hill Lane, Dallas Presbyterian Hospital, Dallas, TX 75231 |
| Bradley A Hubbard | Plastic and Reconstructive Surgery | 9101 N Central Expressway, Suite 600, Dallas, TX 75231 | |
| Jennifer C Cather | Dermatology | Mindful Dermatology Pa | 9101 N Central Ecpressway, Suite 160, Dallas, TX 75231 |
| Michael C Holub | Anesthesiology | Anesthesia Partners of Dallas Pa | 8200 Walnut Hill Lane, Dallas Presbyterian Hospital, Dallas, TX 75231 |
| Mark H. Gillie | Anesthesiology | Anesthesia Partners of Dallas Pa | 8200 Walnut Hill Lane, Dallas Presbyterian Hospital, Dallas, TX 75231 |
| Melodie S Young | Nurse Practitioner | Mindful Dermatology Pa | 9101 N Central Ecpressway, Suite 160, Dallas, TX 75231 |
| Christopher Alan Morgan | Anesthesiology | Anesthesia Partners of Dallas Pa | 8200 Walnut Hill Lane, Dallas Presbyterian Hospital, Dallas, TX 75231 |
| Find all physicians in zip 75231 | |||
| City | DALLAS |
| Zip Code | 75231 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DALLAS + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Charles J Banta II.
| 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.