DR. JUSTIN PETER BANDINO (NPI# 1780828863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780828863 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN PETER BANDINO |
| Credential | MD |
| Practice Address |
1100 Wilford Hall Loop Lackland Afb TX 78236-5638 |
| Mailing Address |
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236-5638 |
| Practice Telephone | (210) 292-3376 |
| Mailing Telephone | 2102926225 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R3796 | TX | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
R3796 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1100 WILFORD HALL LOOP |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520261 | Jasmine Gianni Nurse | Nurse Practitioner | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2020-08-27 |
| 1720606643 | Abbey Damore | Social Worker | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2020-07-07 |
| 1295358661 | Marcus Allan Hoof | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2020-05-20 |
| 1215563473 | Madushani Wijetunge | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2020-03-19 |
| 1851927172 | Kathryn Tindle | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2020-03-18 |
| 1336794601 | Haleigh Ann Barnes | Psychologist | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2019-08-05 |
| 1366007932 | Babeck Ebadpour | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2019-05-08 |
| 1376107540 | Aaron Philip Morrison | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Lackland Afb, TX 78236-9908 | 2019-04-23 |
| 1659831352 | Isabella Ruiz | Pharmacist | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2019-03-20 |
| 1841796653 | Carmen Michelle George | Nurse Practitioner | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2018-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578673166 | William Chad Cragun | Dermatology | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9908 | 2006-08-30 |
| 1659365393 | Bart O Iddins | Dermatology | 1100 Wilford Hall Loop, Lackland Afb, TX 78236 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
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| City | LACKLAND AFB |
| Zip Code | 78236 |
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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.