Active NPI
Edward Arthur Banner, M.D.
- Anesthesiology Physician
- Houston, TX
National Provider Identifier
1811044654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G7159
- Practice address
- 1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300 - Phone
- (713) 620-4000
- Fax
- (713) 458-4229
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G7159 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 233-1999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129221102 | Medicaid | TX | |
| 050041644 | Other | TX | RAILROAD MEDICARE |
| 84Y523 | Other | TX-BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1811044654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD",
"address_2": "STE. 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422300",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNER",
"first_name": "EDWARD",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G7159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129221102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050041644",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX-BLUE SHIELD",
"identifier": "84Y523",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.