Individual provider Active NPI

Molly May Bankhead, M.D.

  • Nephrology Physician
  • Arp, TX
National Provider Identifier
1043278187
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H9769 Issued in TX
Practice address
15528 County Road 246 S
Arp, TX 75750-9514
Phone
(903) 520-0260
Fax
(903) 859-1962
NPI assigned
May 1, 2006
Last updated
Feb 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X H9769 TX Primary

Addresses

Primary practice location

15528 County Road 246 S
Arp, TX 75750-9514

Mailing address

15528 County Road 246 S
Arp, TX 75750-9514
Phone (903) 520-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Nephrology Association PastSince Apr 1, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1043278187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15528 COUNTY ROAD 246 S",
            "city": "ARP",
            "state": "TX",
            "postal_code": "757509514",
            "telephone_number": "903-520-0260",
            "fax_number": "903-859-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15528 COUNTY ROAD 246 S",
            "city": "ARP",
            "state": "TX",
            "postal_code": "757509514",
            "telephone_number": "903-520-0260",
            "fax_number": "903-859-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKHEAD",
        "first_name": "MOLLY",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H9769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arp, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.