Organization Active NPI

Ideal Health Care PLLC

  • Internal Medicine Physician
  • New Bern, NC
National Provider Identifier
1124211669
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36646 Issued in NC
Legal business name
IDEAL HEALTH CARE PLLC
Practice address
200 Castle Ridge Rd
New Bern, NC 28562-7384
Phone
(252) 670-2048
Fax
(252) 633-1809
NPI assigned
Aug 17, 2007
Last updated
Aug 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. Lisa Banker, M.D.
Title
Manager/President
Phone
(252) 670-2048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36646 NC Primary

Addresses

Primary practice location

200 Castle Ridge Rd
New Bern, NC 28562-7384

Mailing address

200 Castle Ridge Rd
New Bern, NC 28562-7384
Phone (252) 670-2048

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1124211669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CASTLE RIDGE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627384",
            "telephone_number": "252-670-2048",
            "fax_number": "252-633-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CASTLE RIDGE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627384",
            "telephone_number": "252-670-2048",
            "fax_number": "252-633-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "BANKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "252-670-2048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "36646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.