Individual
JEFFREY BRIAN BANYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
651 COLLIERS WAY STE 307, WEIRTON, WV 26062-5055
(304) 797-6197
Mailing address
651 COLLIERS WAY STE 300, WEIRTON, WV 26062-5058
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD029365E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001302386
HIGHMARK
—
05
—
0015479020006
—
PA
01
—
040009191
RAILROAD MEDICARE
—
01
—
101108
FEDERAL BLACK LUNG
—
01
—
101731
UPMC
PA
01
—
1035617
GATEWAY
PA
01
—
546944
BLUE SHIELD
—
01
—
61301
MEDPLUS
PA
Enumeration date
09/21/2005
Last updated
12/15/2020
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