Kenneth J Banasiak, MD
Pediatrics, Pediatric Critical Care Medicine in Hartford, Connecticut
1205818929- Practice location
- 282 Washington St, Hartford, CT 06106-3322
- Phone
- 860-545-9850
- Fax
- 860-545-8812
- Last updated
- September 9, 2022
Kenneth J Banasiak is a Pediatrics, Pediatric Critical Care Medicine based in Hartford, CT. Kenneth J Banasiak practices in Hartford, CT and has the professional credentials of MD. The NPI Number for Kenneth J Banasiak is 1205818929 and holds a License No. 035451 (CT). The current practice location address for Kenneth J Banasiak is 282 Washington St, Hartford, CT 06106-3322 and can be reached out via phone at 860-545-9850 and via fax at 860-545-8812.
Provider Profile Details
- NPI Number
- 1205818929
- Provider Name
- Kenneth J Banasiak
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 282 Washington St, Hartford, CT 06106-3322
- Phone Number
- 860-545-9850
- Fax Number
- 860-545-8812
- Primary Taxonomy
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 17, 2005
- Last Update Date
- September 9, 2022
- Certification Date
- September 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 282 Washington St
Hartford, CT 06106-3322 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-3322
- Phone Number
- 860-545-9850
- Fax Number
- 860-545-8812
Provider Business Mailing Address Details
- Address
- 301 US Route 1
Building C
Scarborough, ME 04074-7609 - City
- Scarborough
- State
- ME
- Zip
- 04074-7609
- Phone Number
- 207-396-8600
- Fax Number
- 207-396-8632
License Information
- License Number (1)
- 035451
- License State (1)
- CT
- Taxonomy (1)
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X
- License Number (2)
- 017898
- License State (2)
- ME
- Taxonomy (2)
- Pediatrics, Pediatric Critical Care Medicine · 2080P0203X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kenneth J Banasiak, MD?
The NPI number of Kenneth J Banasiak, MD is 1205818929. It was assigned on November 17, 2005 and is currently active in the NPPES registry.
What is the specialty of Kenneth J Banasiak, MD?
Kenneth J Banasiak, MD is registered under the primary taxonomy Pediatrics, Pediatric Critical Care Medicine (code 2080P0203X), licensed in CT under license number 035451.
Where does Kenneth J Banasiak, MD practice?
The practice location is 282 Washington St, Hartford, CT 06106-3322. The office can be reached at 860-545-9850 (phone) or 860-545-8812 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205818929 directly on the NPPES registry website.