Dr JASON D BANISTER is a male medical professional, specializing in General Surgery. He graduated in 1995 from University Of Louisville School Of Medicine.
MERCY HEALTH PHYSICIANS KENTUCKY LLC
225 MEDICAL CTR DR
SUITE 205
PADUCAH
KY
420037907
Tel: 2704414462
| Npi | 1336218031 |
| Pac Id | 6305910845 |
| Professional Enrollment Id | I20080801000244 |
| Last Name | BANISTER |
| First Name | JASON |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL SURGERY |
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| Organization Legal Name | MERCY HEALTH PHYSICIANS KENTUCKY LLC |
| Group Practice Pac Id | 1153488648 |
| Number Of Group Practice Members | 144 |
| Line 1 Street Address | 225 MEDICAL CTR DR |
| Line 2 Street Address | SUITE 205 |
| Marker Of Address Line 2 Suppression | |
| City | PADUCAH |
| State | KY |
| Zip Code | 420037907 |
| Phone Number | 2704414462 |
| Hospital Affiliation Ccn 1 | 180102 |
| Hospital Affiliation Lbn 1 | LOURDES HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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