James C Banich (NPI# 1801087044, PAC ID# 4082707302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1801087044 |
| PAC ID by PECOS | 4082707302 |
| Professional Enrollment ID | I20170823001650 |
| Full Name | James C Banich |
| Organization Legal Name | VANGUARD MEDICAL SPECIALISTS LLC |
| Address |
9348 Grand Cordera Pkwy Suite 160 Colorado Springs CO 80924-7023 |
| Phone Number | 7193551585 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9436209285 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 | 7193551585 | VANGUARD MEDICAL SPECIALISTS LLC |
| Organization Legal Name | VANGUARD MEDICAL SPECIALISTS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer K Garrick | Nurse Practitioner | Vanguard Medical Specialists LLC | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 |
| Rachel L Frederickson | Physician Assistant | Vanguard Medical Specialists LLC | 16222 W Us Hwy 24, Specialty Suite, Woodland Park, CO 80863-8762 |
| Emily J Reynolds | Nurse Practitioner | Vanguard Medical Specialists LLC | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 |
| Michael C Leslie | Dermatology | Vanguard Medical Specialists LLC | 16222 W Us Hwy 24, Specialty Suite, Woodland Park, CO 80863-8762 |
| Maria Christine Sheron | Dermatology | Vanguard Medical Specialists LLC | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 |
| Megan W Stimpson | Physician Assistant | Vanguard Medical Specialists LLC | 16222 W Us Hwy 24, Specialty Suite, Woodland Park, CO 80863-8762 |
| Vinh Q Chung | Dermatology | Vanguard Medical Specialists LLC | 41 State Hwy 67, Unit B, Woodland Park, CO 80863-5009 |
| Renata P Oliveira | Dermatology | Vanguard Medical Specialists LLC | 16222 W Us Hwy 24, Specialty Suite, Woodland Park, CO 80863-8762 |
| Kimberley S Kersh | Physician Assistant | Vanguard Medical Specialists LLC | 41 State Hwy 67, Unit B, Woodland Park, CO 80863-5009 |
| Landon S Barton | Physician Assistant | Vanguard Medical Specialists LLC | 16222 W Us Hwy 24, Specialty Suite, Woodland Park, CO 80863-8762 |
| Street Address |
9348 GRAND CORDERA PKWY SUITE 160 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80924-7023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer K Garrick | Nurse Practitioner | Vanguard Medical Specialists LLC | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 |
| Emily J Reynolds | Nurse Practitioner | Vanguard Medical Specialists LLC | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 |
| Maria Christine Sheron | Dermatology | Vanguard Medical Specialists LLC | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 |
| Kerry Berg | Podiatry | 9348 Grand Cordera Pkwy, Suite 210, Colorado Springs, CO 80924-7002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Sills Schwartz | Occupational Therapy | Premere Rehab LLC | 7600 Sandy Rock Pt, Colorado Springs, CO 80924-5222 |
| Andrea Lauren Gianniny | Qualified Speech Language Pathologist | Premere Rehab LLC | 7600 Sandy Rock Pt, Colorado Springs, CO 80924-5222 |
| Mariel Murray Stimple | Occupational Therapy | Premere Rehab LLC | 7600 Sandy Rock Pt, Colorado Springs, CO 80924-5222 |
| Matthew Kaminsky | Optometry | James Lee Md PC | 9320 Grand Cordera Pkwy, Suite 255, Colorado Springs, CO 80924-7003 |
| Kirsten M Matheson | Registered Dietitian Or Nutrition Professional | 9320 Grand Cordera Pkwy, Suite 100, Colorado Springs, CO 80924-7004 | |
| Carol D Reeder | Family Medicine | Alliance Family Practice | 9320 Grand Cordera Pkwy, Suite 100, Colorado Springs, CO 80924-7004 |
| Mark P Carroll | Family Medicine | 9320 Grand Cordera Pkwy, Suite 100, Colorado Springs, CO 80924-7004 | |
| Jeremy E Jarecke | Internal Medicine | Alliance Family Practice | 9320 Grand Cordera Pkwy, Suite 100, Colorado Springs, CO 80924-7004 |
| Kelly P Smith | Registered Dietitian Or Nutrition Professional | 9320 Grand Cordera Pkwy, Colorado Springs, CO 80924-7004 | |
| James E Whidden Iv | Chiropractic | Complete Chiropractic PC | 9362 Grand Cordera Pkwy, Suite 120, Colorado Springs, CO 80924-7007 |
| Find all physicians in zip 80924 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | COLORADO SPRINGS + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.