Terrill M Baner M.D., LTD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

TERRILL M BANER M.D., LTD

Practice address

608 35TH Ave
Moline, IL 61265-6145

Phone

(309) 762-1488

Fax

(309) 792-9745

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Brown

Title

Office Manager

Phone

(309) 762-1488

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Terrill M Baner, M.D.

  • Otolaryngology Physician
  • Moline, IL
  • NPI 1245201714
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1033308242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656145",
            "telephone_number": "309-762-1488",
            "fax_number": "309-792-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656145",
            "telephone_number": "309-762-1488",
            "fax_number": "309-792-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRILL M BANER M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-762-1488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08100333",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC OF THE RIVER VALLEY",
            "identifier": "IL0101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Jo Taylor, ATC
• Elizabeth Ann Teichler, RRT
• Joan Christine Temmerman, MD
• Elizabeth E Temple, MD
• Mathilde Tengue
• Joseph G Terry, PT
• Michael Anton Terry, LCSW, LISW
• Lucas Terveer, DPT
• Thomas Teslik
• Craig James Thatcher

• Otolaryngology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.