Basic Information
| Provider Information | |||||||||
| NPI: | 1801871074 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BANIONIS | ||||||||
| FirstName: | ARUNAS | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9621 RIDGETOP BLVD NW | ||||||||
| Address2: | |||||||||
| City: | SILVERDALE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983838502 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 9398 RIDGETOP BLVD NW | ||||||||
| Address2: | |||||||||
| City: | SILVERDALE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983838505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607823200 | ||||||||
| FaxNumber: | 3607823240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2005 | ||||||||
| LastUpdateDate: | 02/15/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0505X | OP00001793 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine | 207Q00000X | OP00001793 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 7696353 | 01 | AETNA | OTHER | 8918BA | 01 | REGENCE BLUE SHIELD | OTHER | 8296287 | 05 | WA | MEDICAID | 158241 | 01 | WA | LABOR & INDUSTRIES | OTHER | 80183462 | 01 | RAILROAD MEDICARE | OTHER | 8938667 | 01 | WA | CRIME VICTIMS COMP | OTHER | BB6927290 | 01 | DEA | OTHER |