DR. CHRISTINA BANDERA (NPI# 1578506820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578506820 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA BANDERA |
| Credential | M.D. |
| Practice Address |
146 W River St Fl 3 Providence RI 02904-2609 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4513 |
| Practice Telephone | 4017937917 |
| Practice Fax Number | 4017937801 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
38024 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD11708 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TRICARE | 86080015085054 C001 | 01 |
| AZ | 313268 | 05 | |
| AZ | RAILROAD MEDICARE | P00623760 | 01 |
| Street Address |
146 W RIVER ST FL 3 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572390 | Nancy C Lasson | Internal Medicine | 146 W River St Fl 3, Providence, RI 02904-2609 | 2005-07-15 |
| 1609431444 | Alyssa Lynne Norris | Psychologist | 146 W River St Fl 3, Providence, RI 02904-2609 | 2019-05-07 |
| 1932676806 | Chrystal Vergara-lopez | Psychologist | 146 W River St Fl 3, Providence, RI 02904-2609 | 2018-10-30 |
| 1972997138 | Christina Bortz | Internal Medicine | 146 W River St Fl 3, Providence, RI 02904 | 2015-03-26 |
| 1447570122 | Tarra Evans | Obstetrics & Gynecology | 146 W River St Fl 3, Providence, RI 02904 | 2010-06-04 |
| 1568786077 | Joanna Vaz Maclean | Psychiatry & Neurology | 146 W River St Fl 3, Providence, RI 02904 | 2010-03-26 |
| 1538261029 | Lai-yet Lam | Obstetrics & Gynecology | 146 W River St Fl 3, Providence, RI 02904-2609 | 2006-09-04 |
| 1558394833 | Niharika Mehta | Internal Medicine | 146 W River St Fl 3, Providence, RI 02904-2609 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295028611 | Matthew Oliver | Obstetrics & Gynecology | 101 Dudley St, Program In Women's Oncology, Providence, RI 02905-2401 | 2011-05-18 |
| 1447570122 | Tarra Evans | Obstetrics & Gynecology | 146 W River St Fl 3, Providence, RI 02904 | 2010-06-04 |
| 1548584014 | Stephen S. Falkenberry M.d. Inc. | Obstetrics & Gynecology | 235 Plain St, Suite 204, Providence, RI 02905-3240 | 2010-03-26 |
| 1770758419 | Elizabeth Lokich | Obstetrics & Gynecology | 101 Dudley St, Women's Oncology, Providence, RI 02905-2401 | 2008-04-24 |
| 1538213483 | Bachir Sakr | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2007-01-22 |
| 1376633248 | Katina Robison | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2006-10-13 |
| 1457441321 | Ashley Stuckey | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2006-10-13 |
| 1487660296 | Cornelius Granai IIi | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2006-08-01 |
| 1245258151 | Trevor Tejada-berges | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2006-07-18 |
| 1174559603 | Paul Andrew Disilvestro | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2006-06-25 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on DR. CHRISTINA BANDERA.
| 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.