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BANNON ORTHOPAEDICS & SPORTS MEDICINE
NPI 1780618983
Specialist in Queensbury, NY

Active since July 11, 2006
543 BAY RD, QUEENSBURY, NY 12804(518) 761-2663(518) 761-6831 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bannon Orthopaedics & Sports Medicine NPPES

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

BANNON ORTHOPAEDICS & SPORTS MEDICINE (NPI 1780618983) is a healthcare organization registered as a specialist in Queensbury, New York and active in the NPI registry since July 2006. The organization lists J David Bannon, President, as its authorized official.

NPPES Registry Identity

NPI1780618983
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJ. DAVID BANNON MD PC
Location Address543 BAY RDQueensbury, NY 12804-1441
Mailing Address543 Bay RdQueensbury, NY 12804-1441 · (518) 761-2663 · Fax (518) 761-2663
Phone(518) 761-2663
Fax(518) 761-6831
Organization SubpartNo
Authorized OfficialJ David BannonPresident · (518) 761-2663
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780618983 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

Doing Business AsBannon Orthopaedics & Sports Medicine

Other Identifiers 1

Medicaid00832751NY

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 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
DR. JOHN DAVID BANNON MD,FACS
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

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 J. David Bannon MD PC's NPI number?

The NPI number for J. David Bannon MD PC is 1780618983. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Bannon Orthopaedics & Sports Medicine.

Where is J. David Bannon MD PC located?

J. David Bannon MD PC is located at 543 Bay Rd, Queensbury, NY 12804. The listed phone number is (518) 761-2663.

What is J. David Bannon MD PC'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 J. David Bannon MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.