Kim Lisa Bango MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3462 Issued in TX

Legal business name

KIM LISA BANGO MD PA

Practice address

1608 W FM 700
Suite D
Big Spring, TX 79720-4105

Phone

(432) 263-0500

Fax

(432) 263-0501

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kim Lisa Bango, M.D.NPI 1235171711

Title

Owner

Phone

(432) 263-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Lisa Bango, M.D.

  • Family Medicine Physician
  • South Miami, FL
  • NPI 1235171711
  NPD (past) Authorized official

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1477595866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W FM 700",
            "address_2": "SUITE D",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204105",
            "telephone_number": "432-263-0500",
            "fax_number": "432-263-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W FM 700",
            "address_2": "SUITE D",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204105",
            "telephone_number": "432-263-0500",
            "fax_number": "432-263-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM LISA BANGO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "BANGO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-263-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182593701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toby C Keel, P.T.A.
• John Richard Key, D.D.S.
• Neema Kazem Khonsari, MD
• Ben Kilgore
• J Gale Kilgore, OD
• Kimberly a Shafer, P.C.
• Kimberly J Saenz M D P L L C
• Nkaku Robert Kisaalita, PH.D., ABPP
• Chantal Kneifel, PHARMD
• Parham Koohbor, DDS

• Family Medicine Physician in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.