Provider Demographics
NPI:1801871074
Name:BANIONIS, ARUNAS T (DO)
Entity type:Individual
Prefix:DR
First Name:ARUNAS
Middle Name:T
Last Name:BANIONIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9621 RIDGETOP BLVD NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8502
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9398 RIDGETOP BLVD NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8505
Practice Address - Country:US
Practice Address - Phone:360-782-3200
Practice Address - Fax:360-782-3240
Is Sole Proprietor?:No
Enumeration Date:2005-12-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001793207QA0505X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7696353OtherAETNA
8918BAOtherREGENCE BLUE SHIELD
WA8296287Medicaid
WA158241OtherLABOR & INDUSTRIES
80183462OtherRAILROAD MEDICARE
WA8938667OtherCRIME VICTIMS COMP
BB6927290OtherDEA
G8552215Medicare PIN
G8871936Medicare PIN
G8897766Medicare PIN
BB6927290OtherDEA
8918BAOtherREGENCE BLUE SHIELD
WAGAB28122Medicare PIN
WAGAB28120Medicare PIN
WA8296287Medicaid
WAGAB28121Medicare PIN
G8880098Medicare PIN