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LIZA DE OLAZO BANAAG, M. D., P. A.
NPI 1558497040
Preventive Medicine - Undersea and Hyperbaric Medicine in Grenada, MS

Active since February 26, 2007
965 J K AVENT DR, SUITE 100-A, GRENADA, MS 38901(662) 227-7446 Get Directions Write a Review

NPPES record last updated: January 25, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Liza De Olazo Banaag, M. D., P. A. NPPES

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

LIZA DE OLAZO BANAAG, M. D., P. A. (NPI 1558497040) is a healthcare organization registered as an undersea and hyperbaric medicine in Grenada, Mississippi and active in the NPI registry since February 2007. The organization lists Liza De Olazo Banaag, Owner, as its authorized official.

NPPES Registry Identity

NPI1558497040
Entity TypeOrganization
Primary Taxonomy2083P0011X
Legal Business NameLIZA DE OLAZO BANAAG, M. D., P. A.
Location Address965 J K AVENT DR, SUITE 100-AGrenada, MS 38901-5045
Mailing AddressPo Box 2329Grenada, MS 38902-2329 · (832) 646-5492
Phone(662) 227-7446
Organization SubpartNo
Authorized OfficialLiza De Olazo BanaagOwner · (832) 646-5492
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJanuary 25, 2008
✔ NPI 1558497040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
License✔ Licensed in MS · 19748
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
965 J K AVENT DR, Grenada, MS 38901
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Other Identifiers 2

Medicare UPING79717TX
Medicare ID-Type Unspecified00113JTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

GRENADA ADULT HEALTHCARE CLINIC PC.
Clinic/Center (Primary Care)
965 J K AVENT DR, SUITE 106
GRENADA, MS 38901
Grenada County (662) 227-6450
DR. JUSTICE AARON GONDWE M.D.
Internal Medicine (Infectious Disease)
965 J K AVENT DR, SUITE 106
GRENADA, MS 38901
Grenada County (662) 227-6450

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 Liza De Olazo Banaag, M. D., P. A.'s NPI number?

The NPI number for Liza De Olazo Banaag, M. D., P. A. is 1558497040. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Liza De Olazo Banaag, M. D., P. A. located?

Liza De Olazo Banaag, M. D., P. A. is located at 965 J K Avent Dr Suite 100-A, Grenada, MS 38901. The listed phone number is (662) 227-7446.

What is Liza De Olazo Banaag, M. D., P. A.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

When was this NPI record last updated?

The NPPES record for Liza De Olazo Banaag, M. D., P. A. was last updated on January 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.