Raymond a Bannan

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35 054143 Issued in OH

Legal business name

RAYMOND A BANNAN

Practice address

3372 Belmont St
Bellaire, OH 43906-1523

Phone

(740) 676-1121

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Raymond Anthony Bannan

Title

Owner

Phone

(740) 676-1121

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1114088960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 BELMONT ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061523",
            "telephone_number": "740-676-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 BELMONT ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061523",
            "telephone_number": "740-676-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A BANNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BANNAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-676-1121"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35 054143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180012369",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0819930",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG5587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phil Pata II
• Shannen N Pomaranski
• Taylor Jo Porter, LPN
• Scott Douglas Powers
• Professional Dental Alliance of Martins Ferry, LLC
• Raymond a Bannan, MD LLC
• Carri Lynn Rejonis, RN
• Dorothy Romanek, DPT
• Brianne Roseberry, CCC-SLP
• Karlie Russell

• Ophthalmology Physician in Bellaire, OH
• Providers in Bellaire, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.