MR. MICHAEL R. BANTON (NPI# 1619984523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619984523 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL R. BANTON |
| Credential | M.D. |
| Practice Address |
13100 Manchester Rd Ste 150 Saint Louis MO 63131-1743 |
| Practice Telephone | 3146927886 |
| Practice Fax Number | 3146927929 |
| Mailing Telephone | 3146927886 |
| Mailing Fax Number | 3146927929 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2017-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R1J81 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
R1J81 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CHAMPUS | 260012274 | 01 |
| MO | HEALTHLINK | 132484 | 01 |
| MO | UNITED HEALTHCARE | 1511221 | 01 |
| MO | 202842001 | 05 | |
| MO | BLUE SHEILD | 23064 | 01 |
| MO | AETNA | 4222764 | 01 |
| Street Address |
13100 MANCHESTER RD STE 150 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831176353 | Marta H. Da Silva | Psychiatry & Neurology | 13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 | 2005-12-27 |
| 1881750214 | Psychiatric Center of Creve Coeur,ltd. | Psychiatry & Neurology | 13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730622929 | Judith Hood Mckelvey | Psychiatry & Neurology | 9861 Copper Hill Rd, Saint Louis, MO 63124-1063 | 2016-11-21 |
| 1629332259 | Oksana Baram | Psychiatry & Neurology | 10420 Old Olive Street Rd Ste 204, Saint Louis, MO 63141-5938 | 2012-06-28 |
| 1689881567 | Pearl Fisher Serota | Psychiatry & Neurology | 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 | 2007-05-17 |
| 1154536100 | Rekha Ramanuja | Psychiatry & Neurology | 1220 N Lindbergh Blvd, Saint Louis, MO 63132-1704 | 2007-05-13 |
| 1215972948 | Gary H Boxer | Psychiatry & Neurology | 24 S Kingshighway Blvd, Saint Louis, MO 63108-1301 | 2006-06-17 |
| 1265956544 | Family Psychiatry LLC | Psychiatry & Neurology | 10420 Old Olive Street Rd, Saint Louis, MO 63141-5914 | 2017-07-28 |
| 1699138495 | Martin Huynh | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2016-03-30 |
| 1225490881 | Ian Leonard Pearson | Psychiatry & Neurology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2016-03-23 |
| 1255715793 | Max Samuel Rosen | Psychiatry & Neurology | 4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212 | 2015-07-15 |
| 1699152249 | Brian Bui | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108 | 2015-05-04 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
Please comment or provide details below to improve the information on MR. MICHAEL R. BANTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.