DR. MICHAEL DAVID BANOV (NPI# 1881771004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881771004 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID BANOV |
| Credential | MD |
| Practice Address |
108 Margaret Ave Marietta GA 30060 |
| Practice Telephone | 7704222009 |
| Practice Fax Number | 7704280330 |
| Mailing Telephone | 7704222009 |
| Mailing Fax Number | 7704280330 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
GA37445 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
108 MARGARET AVE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952449662 | Cathie C Preston | Nurse Practitioner | 108 Margaret Ave, Marietta, GA 30066 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598250342 | Avant Behavioral Consultants Inc | Psychiatry & Neurology | 2225 Heathermoor Hill Dr, Marietta, GA 30062-6502 | 2018-06-25 |
| 1427455617 | Charles Earl Levy | Psychiatry & Neurology | 5300 Willow Point Pkwy, Marietta, GA 30068-1829 | 2014-12-03 |
| 1356679161 | Svathi Reddy Md, L.L.C. | Psychiatry & Neurology | 1640 Powers Ferry Rd Bldg 17, Suite 100, Marietta, GA 30067-5491 | 2009-12-07 |
| 1902031438 | Center for Attention & Psychiatry, LLC | Psychiatry & Neurology | 840 Kennesaw Ave., Suite 8, Marietta, GA 30060 | 2009-05-28 |
| 1356581144 | Valdesha Lechante' Dejean | Psychiatry & Neurology | 1640 Powers Ferry Rd Se Ste 200, Marietta, GA 30067-5491 | 2009-03-06 |
| 1184897779 | Lewis Harry Lipsius | Psychiatry & Neurology | 1236 Ashley Lake Dr Ne, Marietta, GA 30062-2937 | 2008-04-04 |
| 1396874889 | Mark Daniel Gronsbell | Psychiatry & Neurology | 3876 Clubland Dr, Marietta, GA 30068-4008 | 2007-03-02 |
| 1699838045 | Crit Reon Cooksey | Psychiatry & Neurology | 3827 Roswell Road, Suite 100b, Marietta, GA 30062-6262 | 2006-12-18 |
| 1912082181 | Sandra Ann Diehl | Psychiatry & Neurology | 709 Canton Rd Ne Ste 200, Marietta, GA 30060-7258 | 2006-10-26 |
| 1194769257 | Russell E Brown | Psychiatry & Neurology | 4688 Trinity Ct, Marietta, GA 30068-1671 | 2006-06-16 |
| Find all providers in MARIETTA | ||||
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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.