KATHRYN K BANNER (NPI# 1417094061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417094061 |
| Entity Type | Individual |
| Full Name | KATHRYN K BANNER |
| Credential | MD |
| Practice Address |
1180 Hope St Bristol RI 02809-1126 |
| Practice Telephone | 4012470610 |
| Practice Fax Number | 4012533131 |
| Mailing Telephone | 4012470610 |
| Mailing Fax Number | 4012533131 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD12307 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NEIGHBORHOOD HEALTH PLAN | 32535 | 01 |
| RI | 1417094 | 05 | |
| RI | BCHIP | 414090 | 01 |
| RI | HARVARD PILGRIM | AA89360 | 01 |
| RI | B/S | 0000032662 | 01 |
| RI | UHC | 050340866 | 01 |
| Street Address |
1180 HOPE ST |
| City | BRISTOL |
| State | RI |
| Zip Code | 02809-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453431 | Geoffrey Robert Hamilton | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2005-08-02 |
| 1639793441 | Andrew Sakovits | Optometrist | 1180 Hope St, Bristol, RI 02809-1126 | 2020-06-08 |
| 1376049379 | Kara E Frade | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2018-03-30 |
| 1578924460 | Ana Paula Silva | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2016-03-19 |
| 1780937474 | Alexander Robert Pease | Pharmacist | 1180 Hope St, Bristol, RI 02809-1126 | 2012-10-18 |
| 1467712349 | Sarah M Riedo | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2012-05-24 |
| 1649544610 | Nicholas Paul Pelletier | Physician Assistant | 1180 Hope St, Bristol, RI 02809-1126 | 2012-03-08 |
| 1760769640 | John Wescott | Massage Therapist | 1180 Hope St, Bristol, RI 02809-1126 | 2011-11-07 |
| 1265721054 | Reuben Harel Reich | Dermatology | 1180 Hope St, Bristol, RI 02809-1126 | 2011-04-01 |
| 1518298272 | Maria Lola Cevallos Alomia | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2010-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246068 | Maryann Bishop | Physical Therapist | 7 Creek Lane, Bristol, RI 02809 | 2018-08-23 |
| 1063913127 | Melanie Hopper Koppelman | Acupuncturist | Harbor Integrative Health, LLC, 60 Poppasquash Road, Bristol, RI 02809 | 2018-02-23 |
| 1871011478 | Ashley Hayes Pereira | Occupational Therapist | 31 Duffield Rd, Bristol, RI 02809 | 2017-09-03 |
| 1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
| 1174829873 | Meghan Elizabeth Martorana | Dietitian, Registered | 685 Metacom Avenue, Bristol, RI 02809 | 2011-01-28 |
| 1881909794 | Hoffmann Chiropractic Inc | Chiropractor | 450 Hope Street, Bristol, RI 02809 | 2010-08-16 |
| 1558555961 | Michael James Allen | Dentist | 36 Bradford Street, Bristol, RI 02809 | 2007-08-29 |
| 1033309141 | Melinda Mary Allaire | Physical Therapist | 2 Ruth Ave, Bristol, RI 02809 | 2007-07-26 |
| 1033240726 | Emily Snow Delconte | Dietitian, Registered | 685 Metacom Ave, Bristol, RI 02809 | 2007-03-07 |
| 1881756203 | Warren Dental Associates Inc | Dentist | 634 Main Street, Warren, RI 02809 | 2006-12-14 |
| Find all providers in zip 02809 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| 1679879118 | Ravikumar Patel | Internal Medicine | 1 Medical Park Blvd Ste 255w, Bristol, TN 37620-7430 | 2011-02-01 |
| 1528274859 | Holly Amber Berndt | Internal Medicine | 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 | 2007-05-15 |
| 1396871422 | Basharat A. Shah | Internal Medicine | 1 Medical Park Blvd., Bristol Regional Medical Center, Bristol, TN 37620 | 2007-02-25 |
| 1114063948 | Wendie M Puls | Internal Medicine | 30 Mountain St, Bristol, VT 05443-1310 | 2007-01-29 |
| 1467520114 | Dorcas B Goodman | Internal Medicine | 11033 Nw State Road 20, Bristol, FL 32321-6406 | 2006-12-01 |
| 1235222506 | John Arthur Frazier | Internal Medicine | 123 Maple St, Bristol, CT 06010-5037 | 2006-10-01 |
| Find all providers in BRISTOL | ||||
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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.