DR. RAYMUND D BANZON M.D. NPI 1134108491

NPI Information

NPI: 1134108491
Provider Name: DR. RAYMUND D BANZON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2533 COWAN BLVD
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 371-0548
Get Directions

DR. Raymund D Banzon, M.D. is a family medicine in Fredericksburg, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Raymund D Banzon, M.D. NPI is 1134108491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2533 COWAN BLVD
FREDERICKSBURG, VA
ZIP 22401-440
Phone: (540) 371-0548
Fax: (540) 371-2481

The NPI 1134108491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 4/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		0101048478	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CO2375	OTHER	VIRGINIA	MEDICARE GROUP
2	00090772	OTHER	VIRGINIA	AETNA CAP
3	141452	OTHER	VIRGINIA	ANTHEM
4	4265143	OTHER	VIRGINIA	AETNA NON HMO
5	0898263	OTHER	VIRGINIA	AETNA HMO
6	080038873	MEDICARE PIN	VIRGINIA
7	814355	OTHER	VIRGINIA	MAMSI
8	080003637	MEDICARE PIN	VIRGINIA
9	0101048478	OTHER	VIRGINIA	LICENSE
10	CA9037	OTHER	VIRGINIA	MCR RAILROAD GROUP
11	F40885	MEDICARE UPIN
12	005636329	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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