Susan Diane Bannick-Mohrland, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8562 Issued in NV

Practice address

6900 Pecos Rd
North Las Vegas, NV 89086-4400

Phone

(702) 527-6341

Fax

(702) 360-0533

NPI assigned

Mar 7, 2006

Last updated

Oct 16, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1760459002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-527-6341",
            "fax_number": "702-360-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-527-6341",
            "fax_number": "702-360-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNICK-MOHRLAND",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamika Banks
• Shonte M Banks
• Stacy Banks
• Toney Jevon Banks
• Willie Banks
• Clarice Hayley Bannor, DC
• Kenly Bansal
• Deepa Banthia
• Laura Baptist
• Rosario Irene Barata Damas

• Internal Medicine Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.