Olivia Bannan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F7971 Issued in TX

Practice address

2500 Fondren Rd
Houston, TX 77063-2319

Phone

(713) 781-4600

Fax

(713) 917-5780

NPI assigned

Aug 31, 2006

Last updated

Dec 17, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: obannan@direct.uspi.com

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1144331554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-781-4600",
            "fax_number": "713-917-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-781-4600",
            "fax_number": "713-917-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNAN",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F7971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017147-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Turner Banks, MA, LPC
• Tyler Banks
• William S. Banks III, MD
• Alison Renee' Bankston, M. ED., LPC
• Bannack Dialysis LLC (Dairy Ashford Dialysis)
• Barbara Jean Banner, MD
• Edward Arthur Banner, M.D.
• Katherine Alexis Banner
• Kelly Nicole Banneyer, PHD
• Rohan Kendall Bannis, M.D.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.