DR. STEPHEN MICHAEL BANE (NPI# 1528046349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528046349 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MICHAEL BANE |
| Credential | M.D. |
| Practice Address |
2280 Opitz Blvd Suite 340 Woodbridge VA 22191-3362 |
| Mailing Address |
207 Jefferson St Alexandria VA 22314-4323 |
| Practice Telephone | 7038780777 |
| Practice Fax Number | 7035831777 |
| Mailing Telephone | 7038780777 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 0101055871 | VA | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
0101055871 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6500226 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2070 Old Bridge Rd Ste 103, Lake Ridge, VA 221922495 | 7034998787 | 7034998222 |
| 6371 Little River Tpke Fl 1, Alexandria, VA 223125002 | 5713514850 | 7034998222 |
| Street Address |
2280 OPITZ BLVD SUITE 340 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653648 | Amy Fordree Varias | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2005-07-20 |
| 1407369374 | Nicole Theresa Layman | Registered Nurse | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2017-11-14 |
| 1235501719 | Lashawna Heflin | Nurse Practitioner | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2015-10-23 |
| 1710304027 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 110, Woodbridge, VA 22191-3362 | 2014-03-25 |
| 1134559479 | Christina Ruth Parks | Nurse Anesthetist, Certified Registered | 2280 Opitz Blvd, Woodbridge, VA 22191 | 2013-11-23 |
| 1356773048 | Houshang Makipour, Md PC | Specialist | 2280 Opitz Blvd, Suite 200, Woodbridge, VA 22191-3362 | 2013-08-05 |
| 1053680785 | Andre F Feltren | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2011-12-27 |
| 1790053965 | Sentara Medical Group | Internal Medicine | 2280 Opitz Blvd, Ste 250, Woodbridge, VA 22191-3362 | 2011-12-02 |
| 1205118254 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 320, Woodbridge, VA 22191-3362 | 2011-09-15 |
| 1447530803 | Commonwealth Audiology LLC | Hearing Aid Equipment | 2280 Opitz Blvd, Suite 340, Woodbridge, VA 22191-3362 | 2011-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689115768 | Mari Miyamoto Hayashi | Otolaryngology | 8409 N Run Medical Dr, Mechanicsville, VA 23116-2309 | 2017-03-09 |
| 1811333644 | Heinz H.e. Scheidemandel | Otolaryngology | 6516 Walters Woods Dr, Falls Church, VA 22044-1425 | 2013-05-20 |
| 1871698704 | Richard Joseph Grayson Jr. | Otolaryngology | 2609 Robin Hood Rd Se, Roanoke, VA 24014-3421 | 2006-09-14 |
| 1598750499 | Danny A Neal | Otolaryngology | 333 Lucy Dr, Harrisonburg, VA 22801-8050 | 2005-09-16 |
| 1649263757 | Charles Wayne Gates | Otolaryngology | 3360 Emmaus Rd, Harrisonburg, VA 22801-2685 | 2005-08-24 |
| 1568464642 | Caleb R Massey IIi | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2005-08-10 |
| 1235564709 | Yu Kim Dennis Chua | Otolaryngology | 1215 Lee St, Charlottesville, VA 22908-0816 | 2013-09-03 |
| 1700100286 | Matthew A Hubbard | Otolaryngology | 176 Valley St Nw, Abingdon, VA 24210-2859 | 2010-03-26 |
| 1831337898 | Naderi Center for Cosmetic Surgery & Skin Care, Pllc | Otolaryngology | 297 Herndon Pkwy, Suite 101, Herndon, VA 20170-4474 | 2009-01-29 |
| 1710160205 | M Karim Ali Md Facs PC | Otolaryngology | 1830 Town Center Dr, Suite 209, Reston, VA 20190-3236 | 2007-12-07 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.