Kenneth J Banasiak
MD | Pediatric Critical Care Medicine | Male
Kenneth J Banasiak, MD is a Hartford, Connecticut based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Kenneth J Banasiak is
282 Washington St, Hartford, Connecticut - 06106-3322. He can be contacted on phone at
860-545-9850 and fax number 860-545-8812.
Kenneth J Banasiak is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth J Banasiak is
1205818929 which was assigned by NPPES on 17 Nov, 2005 and it was last updated on 09 Sep, 2022.
Kenneth J Banasiak license number is
017898 for Pediatrics, Pediatric Critical Care Medicine (2080P0203X) in Maine.
Kenneth J Banasiak is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Kenneth J Banasiak basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Critical Care Medicine |
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| Provider Name : | Kenneth J Banasiak |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kenneth J Banasiak address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 282 Washington St
Hartford, CT, 06106-3322
United States |
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| Phone Number : | 860-545-9850 |
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| Fax Number : | 860-545-8812 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205818929 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Nov, 2005 |
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| Last Updated On : | 09 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth J Banasiak are as mentioned. Primary taxonomy code for Kenneth J Banasiak, MD is
2080P0203X (Pediatrics, Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | 035451 | CT |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | Yes | 017898 | ME |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth J Banasiak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000830301 | MEDICARE PIN | ME | |
| 000830302 | MEDICARE PIN | ME | |
| 001354513 | MEDICAID | CT | |
| 30208101 | MEDICAID | NH | |
| 370001010 | MEDICARE ID-Type Unspecified | CT | |
| 433063199 | MEDICAID | ME | |
| G34354 | MEDICARE UPIN | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
22 BRAMHALL ST, PEDIATRIC INTENSIVE CARE
PORTLAND, ME, 04102
United States | PORTLAND, ME | 207-662-2179 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | kbanasiak6932@connecticutchildrens.direct-ci.com
| No affiliation |
|
| 282 Washington St,
Hartford, CT, 06106-3322
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 301 Us Route 1, Building C
Scarborough, ME, 04074-7609
United States |
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| Phone Number : | 207-396-8600 |
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| Fax Number : | 207-396-8632 |
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Business Location:
Patients can refer following map for directions to
Kenneth J Banasiak practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.