JOHN A. BANAHAN, JR. MD – NPI #1720379720
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JOHN BANAHAN, JR. is a radiologist located in PASCAGOULA, MS. NPPES has assigned the NPI number 1720379720 to JOHN BANAHAN, JR. on April 25, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN BANAHAN, JR. below.

NPI Profile for
JOHN A. BANAHAN, JR.

NPI Number
1720379720
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN A. BANAHAN, JR.
Credentials
MD
Primary location
2809 DENNY AVE
PASCAGOULA, MS 39581-5301
Phone: (228) 762-1353 Fax: (228) 762-1359
Mailing address
1365 MARKET ST
PASCAGOULA, MS 39567-6604
Phone: (228) 762-1353 Fax: (228) 762-1359
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MS 24796

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN BANAHAN, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL HOSPITAL AT GULFPORT
      4500 13TH STREET
      GULFPORT, MS 39502
    • SINGING RIVER HEALTH SYSTEM
      2809 DENNY AV
      PASCAGOULA, MS 39581

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