MR. ROGER JAMES BANNON (NPI# 1447589767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447589767 |
| Entity Type | Individual |
| Full Name | MR. ROGER JAMES BANNON |
| Other Name | ROGER JAMES KOON |
| Credential | OTR, CHT |
| Practice Address |
3645 Gentian Blvd Suite 1 Columbus GA 31907-5687 |
| Practice Telephone | 7065074433 |
| Mailing Telephone | 7065074433 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT002316 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3645 GENTIAN BLVD SUITE 1 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907-5687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699733956 | Peggy H Augustine | Dentist | 3645 Gentian Blvd, Suite 2, Columbus, GA 31907-5687 | 2006-05-03 |
| 1811498389 | Mary Nell Leverette | Contractor | 3645 Gentian Blvd, Columbus, GA 31907-5687 | 2018-02-21 |
| 1992061055 | Jeanette Long Woods | Occupational Therapist | 3645 Gentian Blvd, Suite 1, Columbus, GA 31907-5687 | 2012-04-03 |
| 1831386416 | Jewel T Rowell | Speech-Language Pathologist | 3645 Gentian Blvd, Suite 1, Columbus, GA 31907-5687 | 2007-09-27 |
| 1932390804 | Robbin Versilla Rowell | Clinic/Center | 3645 Gentian Blvd, Suite 1, Columbus, GA 31907-5687 | 2007-08-06 |
| 1144420555 | Vanessa Leigh Chin | Dentist | 3645 Gentian Blvd, Suite 2, Columbus, GA 31907-5687 | 2007-07-23 |
| 1215086533 | West Georgia Orthodontics | Dentist | 3645 Gentian Blvd, Suite 2, Columbus, GA 31907-5687 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| Find all providers in zip 31907 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031656 | Rachel Chariton | Occupational Therapist | 2300a Manchester Expy Ste 101b, Columbus, GA 31904-6812 | 2015-04-23 |
| 1760947576 | Ashley Koepke | Occupational Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2019-02-06 |
| 1841579794 | Tracy G Augustine | Occupational Therapist | 323 E Town St, Columbus, OH 43215-4753 | 2011-08-10 |
| 1861724023 | Erika R Heiss | Occupational Therapist | 323 E Town St, Columbus, OH 43215-4753 | 2010-02-12 |
| 1558691717 | Jaime Lynn Berecek | Occupational Therapist | 170 Taylor Station Rd, Hand Clinic, Columbus, OH 43213-4441 | 2010-01-10 |
| 1538370242 | Sue Ellen Pollock | Occupational Therapist | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2007-05-24 |
| 1164632543 | Kimberly K Couch | Occupational Therapist | 2050 Kenny Rd, 2nd Floor Rehab, Columbus, OH 43221-3502 | 2007-05-23 |
| 1316157282 | Sheila Marie Lienhart | Occupational Therapist | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2007-05-22 |
| 1386850527 | Leann Kae Gaerke | Occupational Therapist | 2050 Kenny Rd Ste 2100, Columbus, OH 43221-3502 | 2007-05-15 |
| 1194747923 | Sheryl A Lund | Occupational Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2006-07-24 |
| Find all providers in COLUMBUS | ||||
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| 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.