Bradley T Banko (NPI# 1821009622, PAC ID# 7214987973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1821009622 |
| PAC ID by PECOS | 7214987973 |
| Professional Enrollment ID | I20050131000270 |
| Full Name | Bradley T Banko |
| Organization Legal Name | OSH-OH PHYSICIANS GROUP PC |
| Address |
4071 Lee Rd Cleveland OH 44128-2100 |
| Phone Number | 2168107159 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759639693 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360144 | SOUTH POINTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4071 Lee Rd, Cleveland, OH 44128-2100 | 2168107159 | OSH-OH PHYSICIANS GROUP PC |
| Organization Legal Name | OSH-OH PHYSICIANS GROUP PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramon Pla Varona | Internal Medicine | Osh-oh Physicians Group PC | 10688 Lorain Ave, Cleveland, OH 44111-5411 |
| Olaoluwa Oladipo Fayanju | Family Medicine | Osh-oh Physicians Group PC | 4071 Lee Rd, Cleveland, OH 44128-2100 |
| Vaquet A Shomo | Nurse Practitioner | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Adam D Rhodes | General Practice | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Mandisa Molton | Nurse Practitioner | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Rita E Fritz | Nurse Practitioner | Osh-oh Physicians Group PC | 10688 Lorain Ave, Cleveland, OH 44111-5411 |
| Ruth A Chaza-ndlovu | Nurse Practitioner | Osh-oh Physicians Group PC | 4071 Lee Rd, Cleveland, OH 44128-2100 |
| Robert J Cromley | Family Medicine | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
| Taryn Lee | Internal Medicine | Osh-oh Physicians Group PC | 10688 Lorain Ave, Cleveland, OH 44111-5411 |
| Street Address |
4071 LEE RD |
| City | CLEVELAND |
| State | OH |
| Zip | 44128-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olaoluwa Oladipo Fayanju | Family Medicine | Osh-oh Physicians Group PC | 4071 Lee Rd, Cleveland, OH 44128-2100 |
| Ruth A Chaza-ndlovu | Nurse Practitioner | Osh-oh Physicians Group PC | 4071 Lee Rd, Cleveland, OH 44128-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian A Gordon | Urology | 4120 Interchange Corp Ctr Rd, Warrensville Hts, OH 44128 | |
| Sarah E Shafer | Clinical Social Worker | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Laura Artino | Clinical Social Worker | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| April Y Nesbit | Physical Therapy | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Lindsay Vrtovsnik | Occupational Therapy | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Joshua L Palcic | Physical Therapy | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Lora Grove | Speech Language Pathologist | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Felicia Baird | Speech Language Pathologist | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Simira L Wilson | Clinical Social Worker | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Virginia Marguerite Weiss | Clinical Social Worker | Achievement Centers for Children | 4255 Northfield Rd, Highland Hills, OH 44128-2811 |
| Find all physicians in zip 44128 | |||
| City | CLEVELAND |
| Zip Code | 44128 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLEVELAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bradley T Banko.
| 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.