DR. BETHANY TARA SAMUELSON BANNOW MD MCR NPI 1619267556

NPI Information

  • NPI: 1619267556
  • Provider Name: DR. BETHANY TARA SAMUELSON BANNOW, MD, MCR
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10201 CARNEGIE AVE
    CLEVELAND, OH
    ZIP 44106
  • Phone: (866) 223-8100

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NPI Details

DR. Bethany Tara Samuelson Bannow, MD, MCR is a hematology and oncology internal medicine in Cleveland, OH with 15 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Bethany Tara Samuelson Bannow, MD, MCR NPI is 1619267556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

10201 CARNEGIE AVE
CLEVELAND, OH
ZIP 44106-130
Phone: (866) 223-8100

The NPI 1619267556 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 4/12/2011 and was last updated on 10/7/2025.

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
1207RH0000XInternal MedicineHematologyOR186355OREGONNo
2207RH0003XInternal MedicineHematology & Oncology35.154541OHIOYes
3207RH0000XInternal MedicineHematology35.154541OHIONo

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: 11/21/2025

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