DR. MAGDALENA JANINA BANASIAK (NPI# 1134143563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134143563 |
| Entity Type | Individual |
| Full Name | DR. MAGDALENA JANINA BANASIAK |
| Credential | MD |
| Practice Address |
1600 State St Salem OR 97301-4257 |
| Practice Telephone | 5035406300 |
| Practice Fax Number | 5035406404 |
| Mailing Telephone | 5035406300 |
| Mailing Fax Number | 5035406404 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD150631 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500626535 | 05 |
| Street Address |
1600 STATE ST |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278969 | John J Coen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2005-10-11 |
| 1033710843 | Clarissa Freeman | Physical Therapist | 1600 State St, Salem, OR 97301-4257 | 2020-11-06 |
| 1760026785 | Jesse Wright | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2019-11-01 |
| 1508400979 | Robert William Dolan | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2019-10-29 |
| 1780179523 | Michael Alexander Valdez | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2018-06-25 |
| 1306394317 | Lawrence Michael Dimacali | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-19 |
| 1942757224 | Rebecca Theisen | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-05 |
| 1942650825 | Thomas Mcgrath | Physical Therapist | 1600 State St, Salem, OR 97301-4257 | 2016-06-21 |
| 1932595600 | Alana Ryan | Family Medicine | 1600 State St, Salem, OR 97301 | 2015-04-09 |
| 1972909661 | Suzanne Michelle Nerli | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2014-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760718456 | John D. White | Neurological Surgery | 3582 El Dorado Loop S, Salem, OR 97302-9723 | 2009-10-30 |
| 1134272743 | Claudia Hildegard Martin | Neurological Surgery | 1900 Electric Rd Ste 1050, Salem, VA 24153-7474 | 2007-01-18 |
| 1295748218 | James A Saadi | Neurological Surgery | 1802 Braeburn Drive, Salem, VA 24153 | 2006-08-14 |
| 1205817418 | Robert C Buza | Neurological Surgery | 875 Oak St Se Ste 5085, Salem, OR 97301-3923 | 2005-11-07 |
| 1952307498 | Jerry Leroy Hubbard | Neurological Surgery | 875 Oak St Se, Ste 5060, Salem, OR 97301-3987 | 2005-06-21 |
| 1811500671 | Pride Neuroscience Group LLC | Neurological Surgery | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2020-08-30 |
| 1902378946 | Capital Neurosurgery Specialists | Neurological Surgery | 875 Oak St Se Ste 5060, Salem, OR 97301-3987 | 2018-12-31 |
| 1588140263 | Capital Neurosurgery Specialists | Neurological Surgery | 875 Oak St Se Ste 5060, Salem, OR 97301-3987 | 2018-07-16 |
| 1326492273 | Harron Neurosurgery, PC | Neurological Surgery | 150 Spartan Dr, Salem, VA 24153-3208 | 2016-04-18 |
| 1841693363 | Charles V. Hatchette II, Md, LLC | Neurological Surgery | 875 Oak St Se, Suite 5060, Salem, OR 97301-3975 | 2014-09-29 |
| Find all providers in SALEM | ||||
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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.