Krista M Bannon (NPI# 1184886533, PAC ID# 5193072353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1184886533 |
| PAC ID by PECOS | 5193072353 |
| Professional Enrollment ID | I20180718003187 |
| Full Name | Krista M Bannon |
| Organization Legal Name | A AND G AESTHETICS PLLC |
| Address |
3200 Greenfield Rd Suite 110 Dearborn MI 48120-1802 |
| Phone Number | 2488555355 |
| Gender | F |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8022101740 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3200 Greenfield Rd, Suite 110, Dearborn, MI 48120-1802 | 2488555355 | A AND G AESTHETICS PLLC |
| Organization Legal Name | A AND G AESTHETICS PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Ernest Delius | Thoracic Surgery | A and G Aesthetics Pllc | 441 S Livernois, Suite 260, Rochester Hills, MI 48307-2584 |
| Anthony Kaminsky | General Surgery | A and G Aesthetics Pllc | 7125 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-3616 |
| Diana J Wilsher | Family Medicine | A and G Aesthetics Pllc | 3200 Greenfield Rd, Suite 110, Dearborn, MI 48120-1802 |
| Paul J Corcoran | Vascular Surgery | A and G Aesthetics Pllc | 7125 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-3616 |
| Dayna Buiting | Nurse Practitioner | A and G Aesthetics Pllc | 441 S Livernois, Suite 260, Rochester Hills, MI 48307-2584 |
| Max Carlton Hutton | General Surgery | A and G Aesthetics Pllc | 43050 Ford Rd, Suite 170, Canton, MI 48187-3359 |
| Ali M Meslemani | General Surgery | A and G Aesthetics Pllc | 441 S Livernois, Suite 260, Rochester Hills, MI 48307-2584 |
| Dwijen C Misra | General Surgery | A and G Aesthetics Pllc | 441 S Livernois, Rochester Hills, MI 48307-2584 |
| Street Address |
3200 GREENFIELD RD SUITE 110 |
| City | DEARBORN |
| State | MI |
| Zip | 48120-1802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tommy S Kennedy | Podiatry | Primehealth of Michigan LLC | 3200 Greenfield Rd, Suite 300, Dearborn, MI 48120-1800 |
| Steven Frank | Psychologist, Clinical | 3200 Greenfield Rd, Suite 300, Dearborn, MI 48120-1800 | |
| Diana J Wilsher | Family Medicine | A and G Aesthetics Pllc | 3200 Greenfield Rd, Suite 110, Dearborn, MI 48120-1802 |
| Catherine Simeon | Nurse Practitioner | Professional Home Doctors | 3200 Greenfield Rd, Suite 300, Dearborn, MI 48120-1800 |
| Henri Godbold | General Practice | Professional Home Doctors | 3200 Greenfield Rd, Suite 300, Dearborn, MI 48120-1800 |
| Kelly M Stovall | Nurse Practitioner | Professional Home Doctors | 3200 Greenfield Rd, Suite 300, Dearborn, MI 48120-1800 |
| Howard S Goldberg | Internal Medicine | 3200 Greenfield Rd, Suite 300, Dearborn, MI 48120-1800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin B Martinez-gilliard | Clinical Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120-1234 | |
| Rachel Bucy | Clinical Social Worker | Dream Catchers Well-being LLC | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120-1234 |
| Mohammad A Alian | Physical Therapy | 10045 Vernor Hwy, Dearborn, MI 48120-1513 | |
| Saleh Muslah | Internal Medicine | 10140 Vernor Hwy, Dearborn, MI 48120-1515 | |
| Somnath Chowdhury | Internal Medicine | Premier Medicine PC | 9550 Dix, Dearborn, MI 48120-1529 |
| Sariea Alsmoudi | Family Medicine | Premier Medicine PC | 9550 Dix, Dearborn, MI 48120-1529 |
| Omaima Bokhari | Physical Medicine and Rehabilitation | Premier Medicine PC | 9550 Dix, Dearborn, MI 48120-1529 |
| Nabil A Suliman | Internal Medicine | Premier Medicine PC | 9550 Dix, Dearborn, MI 48120-1529 |
| Mohamed A Mahmoud | Physical Therapy | Premier Medicine PC | 9550 Dix, Dearborn, MI 48120-1529 |
| Mireille Touma | Nurse Practitioner | Premier Medicine PC | 9550 Dix, Dearborn, MI 48120-1529 |
| Find all physicians in zip 48120 | |||
| City | DEARBORN |
| Zip Code | 48120 |
| Specialty | GENERAL SURGERY |
| City + Specialty | DEARBORN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Krista M Bannon.
| 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.