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Deactivated NPI 1730445099 Deactivated / Inactive NPI Male Practitioner

Dr. William Edward Bannen , MD

Pediatrics • Las Vegas, NV

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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. William Bannen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2012
NPI Deactivation Date March 03, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. William Bannen, MD was a registered Pediatrics practicing in Las Vegas, NV. Throughout an active medical career spanning 10 years, Dr. Bannen provided care at the practice location at 10 WILD DUNES COURT until profile deactivation on 2022-03-03.

Practice Location & Contact Primary Location

Practice Address

10 Wild Dunes Court

Las Vegas, NV 891131332

Telephone 7025569011

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
214 Specialists

Practicing in Las Vegas, NV (391 Statewide)

Telehealth Adoption Rate
0.5% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NV 03964-PHYSICAN

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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 March 03, 2022

Record deactivated on March 03, 2022

NPI Profile Active April 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2012

Registered at 10 WILD DUNES COURT, LAS VEGAS, NV 891131332 (Tel: 7025569011)

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Updated Business Mailing Address April 11, 2012

Registered at 10 WILD DUNES COURT, LAS VEGAS, NV 891131332 (Tel: 7025569011)

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Provider Name / Credentials Updated April 11, 2012

Recorded as WILLIAM BANNEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2012

Pediatrics (License #03964-PHYSICAN in NV)

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Initial NPI Registration & Enumeration April 11, 2012

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: 1730445099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2012
Last Update: April 11, 2012
Deactivation Date: March 03, 2022

Mailing Address

10 Wild Dunes Court

Las Vegas, NV 891131332

Phone: 7025569011

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.