Organization Active NPI

Jillian E Banbury MD PA

  • Plastic Surgery Physician
  • Greenville, DE
National Provider Identifier
1740485507
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C1 0008018 Issued in DE
Legal business name
JILLIAN E BANBURY MD PA
Practice address
3701 Kennett Pike
400B
Greenville, DE 19807-2162
Phone
(302) 888-0508
Fax
(302) 888-0509
NPI assigned
Jun 20, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Jillian Banbury, MDNPI 1215990155
Title
President
Phone
(302) 888-0508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X C1 0008018 DE Primary

Addresses

Primary practice location

3701 Kennett Pike
400B
Greenville, DE 19807-2162

Mailing address

3701 Kennett Pike
400B
Greenville, DE 19807-2162
Phone (302) 888-0508

National Provider Directory

National Provider Directory

Locations

3701 Kennett Pike
Greenville, DE 19807
Phone (302) 888-0508

4001 Kennett Pike
Ste 234
Wilmington, DE 19807
Phone (302) 888-0508

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1740485507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KENNETT PIKE",
            "address_2": "400B",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072162",
            "telephone_number": "302-888-0508",
            "fax_number": "302-888-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KENNETT PIKE",
            "address_2": "400B",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198072162",
            "telephone_number": "302-888-0508",
            "fax_number": "302-888-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN E BANBURY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "BANBURY",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-888-0508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DE",
            "license": "C1 0008018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.