DR. CRAIG M. BANULL (NPI# 1407894421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407894421 |
Entity Type | Individual |
Full Name | DR. CRAIG M. BANULL |
Credential | M. D. |
Practice Address |
1106 Druid Rd S Suite 302 Clearwater FL 33756-3846 |
Mailing Address |
Po Box 917368 Orlando FL 32891-0001 |
Practice Telephone | 7274413711 |
Mailing Telephone | 7277939300 |
Mailing Fax Number | 7277930052 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2011-08-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME92112 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 272753600 | 05 | |
FL | RR MEDICARE | P00358083 | 01 |
FL | BLUE CROSS BLUE SHIELD | 16163 | 01 |
Street Address |
1106 DRUID RD S SUITE 302 |
City | CLEARWATER |
State | FL |
Zip Code | 33756-3846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285633917 | Allan Hull Haydon | Specialist | 1106 Druid Rd S, Suite 301, Clearwater, FL 33756-3846 | 2005-07-15 |
1538593066 | Jenner Dean | Social Worker | 1106 Druid Rd S, Clearwater, FL 33756-3846 | 2013-09-03 |
1093148728 | Poetchanaporn Bundit Tongdee | Nurse Practitioner | 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 | 2013-08-16 |
1144652405 | Tara Marie Stewart | Counselor | 1106 Druid Rd S, #201, Clearwater, FL 33756-3846 | 2013-08-08 |
1811236540 | Behavioral Health Management Svcs, Inc. | Case Management | 1106 Druid Rd S, Clearwater, FL 33756-3846 | 2013-01-31 |
1174867378 | Wenge Lu | Internal Medicine | 1106 Druid Rd S, Suite 101, Clearwater, FL 33756-3800 | 2012-11-12 |
1013280320 | Carolyn Ann Johnson | Social Worker | 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 | 2012-02-16 |
1164727228 | Yvette M Dixon | Counselor | 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 | 2011-01-21 |
1376787614 | Clearwater Surgical Associates, Pllc | Physician Assistant | 1106 Druid Rd S, Ste 301, Clearwater, FL 33756-3846 | 2009-04-30 |
1548407414 | Emily Elizabeth Bell | Registered Nurse | 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 | 2009-01-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
Find all providers in zip 33756 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548695521 | Jason Dona Messinger | Radiology | 1106 Druid Rd S Ste 302, Clearwater, FL 33756-3841 | 2013-09-09 |
1871842252 | Christine Lynne Felix | Radiology | 2028 Arbor Drive, Clearwater, FL 33760 | 2012-08-31 |
1003080730 | Gerald L Friedman | Radiology | 1882 Mccauley Rd, Clearwater, FL 33765-1511 | 2008-04-14 |
1396872263 | Ryan Joseph Polselli | Radiology | 118 Hampton Rd, #106, Clearwater, FL 33759-4109 | 2007-02-27 |
1992804934 | Lidia Linetsky | Radiology | 611 Druid Road East, Suite 302, Clearwater, FL 33756 | 2006-09-22 |
1366548760 | Gehad Anthony Aboud | Radiology | 501 S. Lincoln Ave., Ste#15, Clearwater, FL 33756 | 2006-09-15 |
1417927278 | David V Jelaso | Radiology | 80 Rogers St, #10a, Clearwater, FL 33756-5296 | 2006-01-25 |
1306839493 | Clearwater Resources Inc | Radiology | 2250 Drew Street, Clearwater, FL 33765 | 2005-08-24 |
1730470311 | Morton Plant Mease Health Services, Inc | Radiology | 400 Pinellas St, Suite 100, Clearwater, FL 33756 | 2011-04-29 |
1760773550 | Morton Plant Mease Health Services Inc | Radiology | 400 Pinellas St, Suite 101, Clearwater, FL 33756 | 2011-04-27 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33756 |
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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.