Banner Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BANNER CARE LLC

Practice address

129 N 11TH St
Philadelphia, PA 19107-2347

Phone

(215) 613-6273

NPI assigned

May 9, 2023

Last updated

Sep 22, 2023By 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

Ray A Abarintos, MDNPI 1417339516

Title

Owner

Phone

(215) 613-6273

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Ray A Abarintos, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1417339516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1558051961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N 11TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072347",
            "telephone_number": "215-613-6273",
            "fax_number": "215-613-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072347",
            "telephone_number": "215-613-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "ABARINTOS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-613-6273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameeka Banks
• Trinady Banks, M.ED, LBS
• Pradeep R. Bankulla, MD
• Theresa Banmeke, CRNP
• Amr Bannan, MD
• David W Banner, MD
• Marc P Banner, MD
• Ronald Stuart Banner, MD
• Ashley Sarah Bannerman-Martin, CRNP
• Andrea Bannon, CRNP

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.