RONALD L BANTA (NPI# 1649218785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649218785 |
Entity Type | Individual |
Full Name | RONALD L BANTA |
Credential | DPM |
Practice Address |
3077 E 98th St Indianapolis IN 46280-2940 |
Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
Practice Telephone | 3178432613 |
Practice Fax Number | 3175745185 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2020-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
07000296A | IN | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07000296A | IN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100461080 | 05 | |
IN | RAIL ROAD PTAN | P01424283 | 01 |
Street Address |
3077 E 98TH ST |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46280-2940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962886341 | Community Physicians of Indiana Inc | Podiatrist | 3077 E 98th St, Suite 100, Indianapolis, IN 46280-1969 | 2015-07-15 |
1407111875 | Indianapolis Osteopathic Hospital, Inc | Podiatrist | 3077 E 98th St, Ste 100, Indianapolis, IN 46280-1969 | 2012-07-11 |
1215201926 | Shining Times Psychological Services, LLC | Community/Behavioral Health | 3077 E 98th St, Suite 170, Indianapolis, IN 46280-2940 | 2012-02-27 |
1326217563 | Ronald L Banta, Dpm, Inc | Podiatrist | 3077 E 98th St, Indianapolis, IN 46280-2940 | 2008-02-21 |
1710163761 | Rebecca M Anderson | Occupational Therapist | 3077 E 98th St, Suite 265, Indianapolis, IN 46280-2940 | 2008-01-20 |
1619164381 | Stonephdllc | Community/Behavioral Health | 3077 E 98th St, Suite 165, Indianapolis, IN 46280-2940 | 2007-09-26 |
1831309194 | Tammy Latterell | Physical Therapist | 3077 E 98th St, Suite 265, Indianapolis, IN 46280-2940 | 2007-05-23 |
1710195573 | Sara Thacker | Physical Therapy Assistant | 3077 E 98th St, Suite 265, Indianapolis, IN 46280-2940 | 2007-05-17 |
1720292964 | Marla L Smith | Psychologist | 3077 E 98th St, Suite 165, Indianapolis, IN 46280-2940 | 2007-05-09 |
1629295035 | Valerie L. Locker-parks | Occupational Therapist | 3077 E 98th St, Suite265, Indianapolis, IN 46280-2940 | 2007-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
Find all providers in zip 46280 |
Taxonomy Code | 213ES0000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Sports Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881078202 | Community Physicians of Indiana Inc | Podiatrist | 3660 Guion Rd, Suite 230b, Indianapolis, IN 46222-1691 | 2015-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487647277 | Bruce J Brincko | Podiatrist | 1275 E North St, Crown Point, IN 46307-3538 | 2005-08-26 |
City | INDIANAPOLIS |
Zip Code | 46280 |
Please comment or provide details below to improve the information on RONALD L BANTA.
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.