Active NPI
Terry Bann, PA-C
- Emergency Medicine Physician
- Cleveland, OH
National Provider Identifier
1962459529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 50.000914RX
- Practice address
- Cleveland Clinic Fairview Hospital 18101 Lorain Avenue
Emergency Services
Cleveland, OH 44111-5612 - Phone
- (216) 476-7312
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 50000914 | OH | |
| Emergency Medicine Physician | 207P00000X | 50.000914RX | OH | Primary |
Addresses
Primary practice location
Cleveland Clinic Fairview Hospital 18101 Lorain Avenue
Emergency Services
Cleveland, OH 44111-5612
Mailing address
Cleveland Clinic Fairview Hospital 18101 Lorain Avenue
Emergency Services
Cleveland, OH 44111-5612
Phone (216) 476-7312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970025543 | Other | OH | MEDICARE TRAVELERS RR-GA |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.000914RX | OH | MD | Emergency Medicine Physician |
| 50000914 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Ohio, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Athens, OH
- NPI 1750313854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1962459529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CLEVELAND CLINIC FAIRVIEW HOSPITAL 18101 LORAIN AVENUE",
"address_2": "EMERGENCY SERVICES",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLEVELAND CLINIC FAIRVIEW HOSPITAL 18101 LORAIN AVENUE",
"address_2": "EMERGENCY SERVICES",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANN",
"first_name": "TERRY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "50000914",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "50.000914RX",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS RR-GA",
"identifier": "970025543",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.