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DR. JOHN DAVID BANNON MD,FACS
NPI 1396718201
Specialist in Queensbury, NY

Active since February 10, 2006
543 BAY RD, QUEENSBURY, NY 12804(518) 761-2663(518) 761-6831 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John David Bannon Md,facs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN DAVID BANNON MD,FACS (NPI 1396718201) is an individual specialist in Queensbury, New York, licensed in New York (136663) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1396718201
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN DAVID BANNONCredential: MD,FACS
Location Address543 BAY RDQueensbury, NY 12804-1441
Mailing Address543 Bay RdQueensbury, NY 12804-1441 · (518) 761-2663 · Fax (518) 761-6831
Phone(518) 761-2663
Fax(518) 761-6831
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1396718201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 136663
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
543 BAY RD, Queensbury, NY 12804
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Other Names 1

Other Name (5)Dr. J. David Bannon Md,facs

Other Identifiers 2

Medicaid00832751NY
Other136663NY · License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALFRED E KRISTENSEN MD PLLC
Specialist
543 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 761-2663
SHERYL MUNCHBACH FNP-BC
Nurse Practitioner
543 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 792-0994
J. DAVID BANNON MD PC
Specialist
543 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 761-2663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Bannon's NPI number?

The NPI number for John Bannon is 1396718201. It was assigned to this individual provider in the NPPES registry on February 10, 2006. The provider is also known as Dr. J. David Bannon Md,facs.

Where is John Bannon located?

John Bannon practices at 543 Bay Rd, Queensbury, NY 12804. The listed phone number is (518) 761-2663.

What is John Bannon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John Bannon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.