MRS. IVONA M BANHAM


Address: 200 Hospital Dr, Glen Burnie, MD 21061-5884
Phone: 4107685555

MRS. IVONA M BANHAM (NPI# 1598726978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598726978
Entity Type Individual
Full Name MRS. IVONA M BANHAM
Other Name MS. IWONA M BANGHAM
Credential PA-C
Practice Address 200 Hospital Dr
Glen Burnie
MD 21061-5884
Practice Telephone 4107685555
Practice Fax Number 4107685835
Mailing Telephone 4107685555
Mailing Fax Number 4107685835
Enumeration Date 2006-03-28
Last Update Date 2016-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		C00856 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD R/R MEDICARE GROUP # CN6601 01
MD R/R MEDICARE PROVIDER # P00141770 01

Office Location

Street Address 200 HOSPITAL DR
City GLEN BURNIE
State MD
Zip Code 21061-5884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629621537 Laura Schultz O'donovan Nurse Practitioner 200 Hospital Dr, Glen Burnie, MD 21061-5884 2019-07-19
1861949570 Holly Richard Physical Therapist 200 Hospital Dr, Empire Med Building, Glen Burnie, MD 21061-5884 2016-09-10
1649726506 Kristen Chandler Clouser Physician Assistant 200 Hospital Dr, Glen Burnie, MD 21061 2016-08-31
1962853119 Centers for Advanced Orthopaedics, LLC Occupational Therapist 200 Hospital Dr, Empire Med Bldg, Glen Burnie, MD 21061 2016-06-29
1285082610 Synergy Orthopedics, LLC Prosthetic/Orthotic Supplier 200 Hospital Dr, Suite 116, Glen Burnie, MD 21061-5884 2016-05-26
1699129437 Michael Sturtevant Mcgraw Counselor 200 Hospital Dr, #300, Glen Burnie, MD 21061-5884 2016-04-18
1689045296 Kristen Ashley Creger Physical Therapist 200 Hospital Dr, Glen Burnie, MD 21061 2015-10-08
1578978201 Nathaniel Mckay Optometrist 200 Hospital Dr, Suite 600, Glen Burnie, MD 21061-5884 2014-06-20
1003241316 Darien Antoine Mellerson Physical Therapist 200 Hospital Dr, Empire Medical Building, Glen Burnie, MD 21061-5884 2013-09-05
1508204389 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 200 Hospital Dr, Empire Med. Bld, Glen Burnie, MD 21061 2013-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255814422 Lotus Behavioral Health and Rehabilitation Services Inc. Behavior Technician 6426 Harrison Square, Glen Burnie, MD 21061 2018-09-12
1942795315 Tina Brown Behavior Technician Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 2018-06-27
1205351905 Digna Emerita Sanchez De Vasquez Specialist/Technologist, Other 201 Fernglen Ave, Glen Burnie, MD 21061 2017-08-03
1255780300 Rachel Cutts Physical Therapist 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 2016-06-09
1295181170 Gaudenzia, Inc. Counselor 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 2016-05-10
1023499548 Mary Bourbon Nurse Practitioner 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 2015-06-10
1972997724 Robert Oladeinde Physician Assistant 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 2015-03-18
1205248069 Cathy Qing He Anesthesiology 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 2014-05-28
1477974764 Shannon Holder Nurse Practitioner 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 2014-01-03
1629404207 Marla Ann Muha Physician Assistant 301 Hospital Dr # 803, Glen Burnie, MD 21061 2013-09-16
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295367894 University of Maryland Community Medical Group, Inc. Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2020-02-11
1669840476 Parker James Barrett Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2015-09-10
1750783858 Megan Bell Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2014-09-19
1104236959 Surgical Assist Services LLC Physician Assistant 1600 Crain Hwy S, Ste 401, Glen Burnie, MD 21061-5577 2014-05-02
1659705440 Victoria A. Yonowitz Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2013-08-28
1619221959 Bridget K. Haslam Physician Assistant 331 Oak Manor Dr, Suite 201, Glen Burnie, MD 21061-5548 2012-11-08
1124281951 Jane Lenore Miclay Physician Assistant 203 Hospital Dr, Suite B100, Glen Burnie, MD 21061-6904 2008-07-02
1215106067 Steven W Sullivan Physician Assistant 1600 Crain Hwy S, Suite 401, Glen Burnie, MD 21061-5577 2008-02-26
1023034170 Brian Roeder Physician Assistant 301 Hospital Dr, Suite 803, Glen Burnie, MD 21061-5803 2006-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205475803 Kendy Karenys Lopez Physician Assistant 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 2019-12-30
1528619640 Cindy Pham Physician Assistant 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 2019-09-20
1508336637 Victor Orlando Hernandez Physician Assistant 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 2018-12-02
1164905824 Surgical Focus LLC Physician Assistant 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 2018-09-10
1912497173 Gem Y Walker Lawson Physician Assistant 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 2018-05-14
1306341540 Sunil Harris Physician Assistant 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 2018-03-29
1134639263 Liz Ramirez Physician Assistant 1101 E 33rd St, Baltimore, MD 21218-3637 2017-10-03
1093231755 Daniel Gentry Physician Assistant 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 2017-08-15
1467981431 Lana E Grubb Physician Assistant 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 2017-06-05
1174051353 Nam Anh Pham Physician Assistant 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 2017-05-31
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Competitor

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City GLEN BURNIE
Zip Code 21061

Improve Information

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Dataset Information

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.

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