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Deactivated NPI 1518945286 Deactivated / Inactive NPI Male Practitioner

Dr. John E Bannow , MD

Urology • Saint Joseph, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Bannow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2006
NPI Deactivation Date July 19, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Bannow, MD was a registered Urology practicing in Saint Joseph, MI. Throughout an active medical career spanning 17 years, Dr. Bannow provided care at the practice location at 815 SAINT JOSEPH DR until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

815 Saint Joseph Dr

Saint Joseph, MI 490852529

Telephone 2699824272
Associated Practice Facility / Clinic
🏢 Lakeside Urology Pc Facility NPI 1770696171

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Saint Joseph, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Saint Joseph, MI (479 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MI 4301036136

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1033546122

Doctor of Medicine (M.D.)

Maria Koularmanis , PA-C

Physician Assistant

NPI 1437678992

Physician Assistant (Certified)

Lauren Farris , PA

Physician Assistant - Surgical

NPI 1689205262

Physician Assistant

Cayla Dungey , NP

Nurse Practitioner

NPI 1720576929

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 19, 2023

Record deactivated on July 19, 2023

NPI Profile Active December 16, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2009

Registered at 815 SAINT JOSEPH DR, SAINT JOSEPH, MI 490852529 (Tel: 2699824272)

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Updated Business Mailing Address December 16, 2009

Registered at 815 SAINT JOSEPH DR, SAINT JOSEPH, MI 490852529 (Tel: 2699824272)

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Provider Name / Credentials Updated December 16, 2009

Recorded as JOHN BANNOW, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2009

Urology (License #4301036136 in MI)

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Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518945286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: December 16, 2009
Deactivation Date: July 19, 2023

Mailing Address

815 Saint Joseph Dr

Saint Joseph, MI 490852529

Phone: 2699824272

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.