JOHN MIKE BANOWETZ MD
NPI 1801867254
Psychiatry & Neurology - Neurology in Oklahoma City, OK

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

Active since February 01, 2006

4120 W MEMORIAL RD, #218, OKLAHOMA CITY, OK 73120(405) 302-2661(405) 302-2670 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About John Mike Banowetz Md NPPES

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

JOHN MIKE BANOWETZ MD (NPI 1801867254) is an individual neurology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (10184) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1801867254

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameJOHN MIKE BANOWETZCredential: MD

Location Address4120 W MEMORIAL RD, #218Oklahoma City, OK 73120

Mailing Address4401 W Memorial Rd, Suite 140Oklahoma City, OK 73134-1785 · (405) 752-3162

Phone(405) 302-2661

Fax(405) 302-2670

Sole ProprietorNo

Enumeration DateFebruary 1, 2006

Last NPPES UpdateApril 21, 2014

✔ NPI 1801867254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in OK · 10184

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4120 W MEMORIAL RD, Oklahoma City, OK 73120

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