NPIMap

Organization Active NPI

Ahmad Banna, M.D., LLC

  • Medical Specialty Clinic/Center
  • Painesville, OH
National Provider Identifier
1144469388
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35045031 Issued in OH
Legal business name
AHMAD BANNA, M.D., LLC
Practice address
124 Liberty St
Painesville, OH 44077-3303
Phone
(440) 352-4956
Fax
(440) 352-0397
NPI assigned
Feb 11, 2009
Last updated
Feb 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Ahmad Banna, MDNPI 1639156805
Title
President
Phone
(440) 352-4956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35045031 OH Primary

Addresses

Primary practice location

124 Liberty St
Painesville, OH 44077-3303

Mailing address

124 Liberty St
Painesville, OH 44077-3303
Phone (440) 352-4956

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1144469388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LIBERTY ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773303",
            "telephone_number": "440-352-4956",
            "fax_number": "440-352-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LIBERTY ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773303",
            "telephone_number": "440-352-4956",
            "fax_number": "440-352-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD BANNA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "BANNA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-352-4956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35045031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.