Provider Demographics
NPI:1689632630
Name:BANNING, CHRISTOPHER S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:S
Last Name:BANNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5520 COLLEGE BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1630
Mailing Address - Country:US
Mailing Address - Phone:913-491-3737
Mailing Address - Fax:913-469-6686
Practice Address - Street 1:5520 COLLEGE BLVD
Practice Address - Street 2:STE 201
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1630
Practice Address - Country:US
Practice Address - Phone:913-491-3737
Practice Address - Fax:913-469-6686
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-31760207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7468720OtherAETNA
2519860OtherUHC
36967015OtherFREEDOM NETWORK
1251734OtherCIGNA
KS200401070AMedicaid
MO201833704Medicaid
36967015OtherPHP
36967015OtherBCBS
1251734OtherCIGNA
MOM52E571BMedicare PIN
I27971Medicare UPIN
MO201833704Medicaid
36967015OtherFREEDOM NETWORK
7468720OtherAETNA