DR. JEFFREY O'BANNER (NPI# 1801277363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801277363 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY O'BANNER |
| Credential | MD |
| Practice Address |
1995 Highway 51 S Covington TN 38019-3635 |
| Mailing Address |
180 S 3rd St Suite 300 Belleville IL 62220-1952 |
| Practice Telephone | 9014762621 |
| Mailing Telephone | 6183335480 |
| Mailing Fax Number | 6182224790 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 57210 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125067541 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 180 S 3rd St, Suite 300, Belleville, IL 62220 | 6182335480 | 6182224790 |
| Street Address |
1995 HIGHWAY 51 S |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775518 | James William Martin | Family Medicine | 1995 Highway 51 S, Suite 101, Covington, TN 38019-3635 | 2005-10-24 |
| 1902459324 | Stephanie Castro Tims | Nurse Practitioner | 1995 Highway 51 S, Covington, TN 38019-3635 | 2019-07-24 |
| 1083170880 | Kayla Tiara Mcmorise | Nurse Practitioner | 1995 Highway 51 S, Covington, TN 38019-3635 | 2019-02-17 |
| 1790231686 | Medicone Medical Response Delta Region Inc | Ambulance | 1995 Highway 51 S, Covington, TN 38019-3635 | 2016-08-30 |
| 1386037919 | Alliance Obstetrics & Gynecology | Obstetrics & Gynecology | 1995 Highway 51 S, #203, Covington, TN 38019-3635 | 2015-03-06 |
| 1205241304 | West Tennessee Orthopaedic Clinic, P.a. | Specialist | 1995 Highway 51 S, Suite 102, Covington, TN 38019-3635 | 2014-06-26 |
| 1992121834 | Rachel Bates | Physician Assistant | 1995 Highway 51 S, Covington, TN 38019-3635 | 2014-03-17 |
| 1043572837 | Premier Women's Care | Obstetrics & Gynecology | 1995 Highway 51 S, Suite 112, Covington, TN 38019-3635 | 2012-06-08 |
| 1386948891 | Eric James Boyer | Physician Assistant | 1995 Highway 51 S, Covington, TN 38019-3635 | 2010-12-28 |
| 1336383645 | Tipton Anesthesia Group, Inc. | Nurse Anesthetist, Certified Registered | 1995 Highway 51 S, Covington, TN 38019-3635 | 2009-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831407394 | Gameel Gabriel | Emergency Medicine | 118 Pine Dr, Covington, LA 70433-4830 | 2010-09-18 |
| 1063726206 | Shaun Xiao | Emergency Medicine | 1203 S Tyler St Ste 220, Covington, LA 70433 | 2010-07-29 |
| 1316147119 | Kevin Dale Chiasson | Emergency Medicine | 17438 Hard Hat Dr, Covington, LA 70435-5630 | 2007-07-19 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1609924919 | Marcus L. Pittman, IIi | Emergency Medicine | 307 S Jefferson Ave, Covington, LA 70433-3135 | 2007-01-05 |
| 1437257854 | Joseph George Pastorek II | Emergency Medicine | 609 E Gibson St, Suite A, Covington, LA 70433-2980 | 2006-09-20 |
| 1568485316 | James L Evans | Emergency Medicine | 200 W Pike St, Covington, KY 41011-2370 | 2006-07-25 |
| 1265459291 | Ingrid T Labat | Emergency Medicine | 1202 S Tyler Street, Emergency Room, Covington, LA 70433 | 2006-07-16 |
| 1598712135 | Clayton Justus Overton IIi | Emergency Medicine | 23 Claudia Dr, Covington, LA 70435-9513 | 2006-05-28 |
| 1316998941 | Peter Phan | Emergency Medicine | 73153 Military Rd, Covington, LA 70435-6054 | 2006-05-16 |
| Find all providers in COVINGTON | ||||
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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.