Jose Javier Banda Mendoza, MD

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

FT582 Issued in KY

Practice address

225 Abraham Flexner Way Ste 850
Louisville, KY 40202-1858

Phone

(502) 562-0312

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Javier Banda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1003302316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021858",
            "telephone_number": "502-562-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021858",
            "telephone_number": "502-562-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA MENDOZA",
        "first_name": "JOSE",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "FT582",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "KY",
            "license": "FT582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "FT582",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "BANDA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seth Benjamin Ballew
• Andrea Ballinger, MS
• Courtney Ballman
• Steven Joseph Balz
• Ronachai Banchongmanie, M.D.
• Carole Banda, ATC
• Sarah P Banday, RPH
• Laura Sue Bandy, LMT
• Tamara Bandy
• Reeti Banerjee

• Orthopaedic Hand Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthopaedic Hand Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.