Dr. Krista Maureen Bannon, M.D.
Surgery in Rochester Hills, MI. Individual provider (NPI-1).
NPI number1184886533
StatusActive
Last updated in NPPESMar 28, 2019
Details
- NPI
- 1184886533
- Entity type
- Individual (NPI-1)
- Name
- Dr. Krista Maureen Bannon
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2008
- Last updated
- Mar 28, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 4301092722 | MI | Yes |
Other names
- Krista Maureen Zayouna (Former Name)
Practice location
441 S Livernois Rd Ste 260Rochester Hills, MI 48307-2593
Phone 248-855-5355
Mailing address
300 Riverfront DrUnit 11b
Detroit, MI 48226-4516
Phone 312-282-3182
Other practice locations
16001 W 9 Mile Rd
Southfield, MI 48075
Southfield, MI 48075
Phone 248-849-3091
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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