Robert J. Banco, MD, PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

ROBERT J. BANCO, MD, PC

Practice address

25 Washington St Unit 1B
Wellesley, MA 02481-1752

Phone

(617) 219-6300

Fax

(617) 219-6355

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Banco, MDNPI 1265434948

Title

President

Phone

(617) 219-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: koonce.sarah.tbsg@direct.partners.masshiway.net
• Direct secure messaging: banco.robert.tbsg@direct.partners.masshiway.net

Practitioners 2

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

• Robert J Banco, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Wellesley Hills, MA
  • NPI 1265434948
  Medicare reassignment NPD Authorized official
• Sarah E Koonce, PA-C

  • Surgical Physician Assistant
  • Newton, MA
  • NPI 1023318037
  Medicare reassignment

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1962889295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON ST UNIT 1B",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811752",
            "telephone_number": "617-219-6300",
            "fax_number": "617-219-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON ST UNIT 1B",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811752",
            "telephone_number": "617-219-6300",
            "fax_number": "617-219-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. BANCO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "BANCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-219-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Roache, ATC
• Jennifer Robert Roache, PA-C
• Nancy J Roberge, PT DPT MED
• Monette Roberson
• Robert a Benny DDS PC
• Robert L. Pyles, MD, a Professional Corp.
• Robert Savage MD PC
• Robert Savage MD PC
• Susan Jo Roberts, NP
• Megan Elizabeth Robertson, OTR/L

• Orthopaedic Surgery of the Spine Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Orthopaedic Surgery of the Spine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.