Physician Compare National (NPI:1871792135)

HEALTHCARE PROVIDER: SAULIS M BANIONIS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1871792135
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446344378
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070921000573
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BANIONIS
	Individual professional last name
Provider First Name	SAULIS
	Individual professional first name
Provider Middle Name	MARIUS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1447 MEDICAL PARK BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 209
	Group Practice or individual's line 2 address
City	WELLINGTON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334143183
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y