Michael K Banbury, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Newark, DE
NPI 1891723581 · NPPES record last updated Jul 31, 2008
Key facts
- NPI
- 1891723581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- C10007994 (DE)
- Practice address
- 4755 Ogletown Stanton Rd
Suite 1E50
Newark, DE 19718 - Phone
- (302) 733-1980
- Fax
- (302) 733-1986
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10007994 | DE | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lemole & Spagna, P. C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Christiana Care Health Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | C10007994 | DE | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Suite 1E50
Newark, DE 19718
Mailing address
PO Box 30170
Wilmington, DE 19805-7170
Phone (302) 623-7150
Other providers in Newark, DE
- Jennifer Balback
- Amanda Noel Balch
- Jennifer P Balkie
- Mohamad Ballan
- Earl Bampo
- Bancroft Behavioral Health
- Urmi Lahiri Banerjee
- Sourin Banerji
- Sheku Bangura
- Sopagna Banh
All providers in Newark, DE · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.