John A Banahan (NPI# 1720379720, PAC ID# 4284870296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1720379720 |
| PAC ID by PECOS | 4284870296 |
| Professional Enrollment ID | I20170504000272 |
| Full Name | John A Banahan |
| Organization Legal Name | SINGING RIVER RADIOLOGY GROUP, PA |
| Address |
3109 Bienville Blvd Ocean Springs MS 39564-4361 |
| Phone Number | 2288181111 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6204847064 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250040 | SINGING RIVER HOSPITAL |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 250007 | MERIT HEALTH BILOXI |
| 250036 | GEORGE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 | 2288181111 | SINGING RIVER RADIOLOGY GROUP, PA |
| 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2287621353 | SINGING RIVER RADIOLOGY GROUP, PA |
| Organization Legal Name | SINGING RIVER RADIOLOGY GROUP, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul H Moore | Diagnostic Radiology | Singing River Radiology Group, Pa | 1365 Market St, Pascagoula, MS 39567-6698 |
| James Carter | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Roland J Mestayer | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Thurman N Polchow | Diagnostic Radiology | Singing River Radiology Group, Pa | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 |
| Charles Vaccaro Menendez Jr. | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Street Address |
3109 BIENVILLE BLVD |
| City | OCEAN SPRINGS |
| State | MS |
| Zip | 39564-4361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole R Walton | Rheumatology | Singing River Health System | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Michael Seymour Jr. | Emergency Medicine | Emergency Room Group Ltd | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Donna M Dean | Certified Registered Nurse Anesthetist (crna) | Jackson County Anesthesia | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Brynna Burnsed | Physician Assistant | Singing River Health System | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Edgar W Hull | Medical Oncology | Singing River Health System | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Michael A Wilson | Pulmonary Disease | Singing River Health System | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Michael Scott Cook | Certified Registered Nurse Anesthetist (crna) | Jackson County Anesthesia | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Subhas Sitaula | Internal Medicine | Singing River Health System | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Michael R Brown | Certified Registered Nurse Anesthetist (crna) | Singing River Health System | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Laura Ann Brandle | Nurse Practitioner | Singing River Health System | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Enger Cross | Physician Assistant | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
| Ashley L Bourgeois | Physician Assistant | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
| Michele H Hughes | Dermatology | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
| David P Hoffman | Chiropractic | 1200 Washington Ave B, Hoffman Chiropractic, Ocean Springs, MS 39564-2859 | |
| Stephanie D Smith | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Hang M Nguyen | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Amber L Touchstone | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Michael W Fairbanks | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| William B Gibboney | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Angela Haigler | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Find all physicians in zip 39564 | |||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OCEAN SPRINGS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John A Banahan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.