Individual provider Active NPI

Douglas R Banning, D.O.

  • Internal Medicine Physician
  • Vinita, OK
National Provider Identifier
1356477681
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3104 Issued in OK
Practice address
27371 S 4410 Rd
Vinita, OK 74301-7953
Phone
(918) 256-4800
Fax
(918) 256-4597
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3104 OK Primary

Addresses

Primary practice location

27371 S 4410 Rd
Vinita, OK 74301-7953

Mailing address

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000371 OK Practitioner - Internal MedicinePractitioner - Emergency Medicine 6608863287 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC CurrentSince Aug 2, 2016 Accepting new patients
South Central Emergency Services PC CurrentSince Mar 1, 2011 Accepting new patients
Mayes County Hma, LLC Past Accepting new patients
Northeast Oklahoma Physician Network Inc Past Accepting new patients
Douglas R Banning, D.O. Internal Medicine PastSince Jul 1, 1995 Accepting new patients

Locations

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIHBDD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1356477681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27371 S 4410 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017953",
            "telephone_number": "918-256-4800",
            "fax_number": "918-256-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27371 S 4410 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017953",
            "telephone_number": "918-256-4800",
            "fax_number": "918-256-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNING",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

Verify at the official NPI Registry.