James D Banner, DO

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

5101011192 Issued in MI

Practice address

406 E Elm St
Carson City, MI 48811

Phone

(989) 584-3971

Fax

(989) 584-3729

NPI assigned

Apr 18, 2006

Last updated

Nov 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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

• Sparrow Carson Hospital

  dba University of Michigan Health-Sparrow

  • Cardiovascular Disease Physician
  • Carson City, MI
  • NPI 1063245694
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1942265756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E ELM ST",
            "address_2": "PO BOX 879",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "48811",
            "telephone_number": "989-584-3971",
            "fax_number": "989-584-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E ELM ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "48811",
            "telephone_number": "989-584-3971",
            "fax_number": "989-584-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNER",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MI",
            "license": "5101011192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675872",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Z. Cote (AC Orthopedic Supply LLC.)
• Sherif A Aziz, MD
• Robert D Barger, MD
• Dean L Barker, RPH
• Rena Baxter, OTR
• Michelle Leigh Becher, D.O., FACOOG
• Amanda Elizabeth Bennett, FNP-C

• Clinical Pathology/Laboratory Medicine Physician in Carson City, MI
• Providers in Carson City, MI by specialty
• Clinical Pathology/Laboratory Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.