DR. NEIL KUMAR BANSAL (NPI# 1730525643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730525643 |
| Entity Type | Individual |
| Full Name | DR. NEIL KUMAR BANSAL |
| Credential | MD |
| Practice Address |
18697 Bagley Rd Middleburg Heights OH 44130-3417 |
| Mailing Address |
2600 6th St Sw Canton OH 44710-1702 |
| Practice Telephone | 4408168000 |
| Mailing Telephone | 8883188233 |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D87764 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.138281 | OH | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
D87764 | MD | Allopathic & Osteopathic Physicians |
| Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
35.138281 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, New York, NY 100166402 | 2122635506 |
| Street Address |
18697 BAGLEY RD |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568124 | Laura Stasiak | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-05-04 |
| 1992326300 | Kyle Gustafson | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2020-04-27 |
| 1295365088 | Hannah Blackburn | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-01-21 |
| 1861038077 | Rebecca Ann Pollack | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2019-11-22 |
| 1609422138 | Kali Potopsky | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-08-12 |
| 1699335588 | James Miner | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-06-13 |
| 1871054080 | Mary Gulla | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-29 |
| 1629537253 | David Brian Haberman | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-13 |
| 1649737487 | Amanda Vitek | Nurse Practitioner | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-02-28 |
| 1356815922 | Hni Medical Services of Ohio, LLC | Internal Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 2085D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619461233 | Eric Robert Swy | Radiology | 234 Goodman St, Cincinnati, OH 45267-4502 | 2018-06-18 |
| 1588008601 | Ryan Allan Incledon | Radiology | 9500 Euclid Ave, Cleveland, OH 44195 | 2013-04-19 |
| 1477754695 | Amna Ajam | Radiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2007-05-29 |
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
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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.