CAROLYN F BANNISTER (NPI# 1922058403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922058403 |
| Entity Type | Individual |
| Full Name | CAROLYN F BANNISTER |
| Credential | MD |
| Practice Address |
807 Childrens Way Nemours Childrens Clinic, Jacksonville Jacksonville FL 32207-8426 |
| Mailing Address |
Po Box 191 Provider Enrollment Department Rockland DE 19732-0191 |
| Practice Telephone | 9046973600 |
| Practice Fax Number | 9046973792 |
| Mailing Telephone | 9046974201 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 029840 | GA | Allopathic & Osteopathic Physicians |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
ME121972 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013892600 | 05 | |
| GA | 000463119N | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931051 | Carolyn J Bannister | Technician | 15169 Dewberry Ln, Conroe, TX 77302-7503 | 2019-09-18 |
| Street Address |
807 CHILDRENS WAY NEMOURS CHILDRENS CLINIC, JACKSONVILLE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281658 | Elizabeth A Moran | Orthopaedic Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2005-08-02 |
| 1689229213 | Madyson Marie Hund | Audiologist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-08-09 |
| 1336792829 | Graciela Teresita Gallo | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1538712013 | Vanessa V Oliveira Valente | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1679031181 | Navondria Lawson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-03-05 |
| 1952870644 | Jessica Alice Johnson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-11-25 |
| 1831676584 | Lukas Scott Hayden | Physician Assistant | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-25 |
| 1053807750 | Christine Nichole Crews | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-05 |
| 1134610470 | Rocio Krystal Rivera-valentin | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-05-22 |
| 1144726696 | Paige Marie Ryan | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831482074 | Gohalem Felema | Anesthesiology | 807 Childrens Way, Jacksonville, FL 32207-8202 | 2011-05-20 |
| 1285951269 | Tanvi J Shah | Anesthesiology | 807 Childrens Way, Nemours Childrens Clinic, Jacksonville, Jacksonville, FL 32207-8426 | 2010-04-29 |
| 1275656100 | James Edward Reid | Anesthesiology | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316365695 | Andrew Letayf | Anesthesiology | 2918 Gin Berry Way, West Palm Beach, FL 33401-6363 | 2014-04-03 |
| 1518114644 | Gershon Fink | Anesthesiology | 241 Ne 4th St Ste A, Delray Beach, FL 33444-3805 | 2008-08-20 |
| 1790900702 | Christie Burnett-yarnell | Anesthesiology | 14111 State Road 54, Pediatric Surgery Centers, Odessa, FL 33556-3663 | 2007-04-16 |
| 1457489767 | Orlando Health Inc | Anesthesiology | 1414 Kuhl Ave., Orlando, FL 32806 | 2007-02-28 |
| 1225196074 | Childrens Anesthesia Associates Inc | Anesthesiology | 800 Sw 108th Ave Ste 200, Miami, FL 33174 | 2006-12-05 |
| 1780765040 | Nancy Setzer-saade | Anesthesiology | 928 Belle Meade Island Dr, Miami, FL 33138-5250 | 2006-10-17 |
| 1104397595 | Mellow Kids, Pllc. | Anesthesiology | 241 Ne 4th St Ste A, Delray Beach, FL 33444-3805 | 2018-12-10 |
| 1063939593 | Sunshine Pediatric Anesthesia Pllc | Anesthesiology | 10080 Balaye Run Dr, Tampa, FL 33619-7902 | 2017-08-25 |
| 1235494493 | Caleb Maness Stalls | Anesthesiology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2012-07-12 |
| 1346526126 | Gershon Fink Do Pa | Anesthesiology | 241 Ne 4th St Ste A, Delray Beach, FL 33444-3805 | 2011-10-25 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.