Richard William Banks, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Tomah, WI
NPI 1568469864 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1568469864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 48100-021 (WI)
- Practice address
- 501 Gopher Dr
Tomah, WI 54660-4513 - Phone
- (843) 338-2895
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48100-021 | WI | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- rbanks625504@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 48100-021 | WI | Yes |
Addresses
Primary practice location
501 Gopher Dr
Tomah, WI 54660-4513
Mailing address
501 Gopher Dr
Tomah, WI 54660-4513
Phone (843) 338-2895
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbanks10713@direct.monroeclinic.org | Direct | Tomah Memorial Hospital Inc |
Other providers in Tomah, WI
- Richard H Bailey
- Kristina K. Baldwin
- Olga Awoulelou Bali
- Jack Ballering
- Ramona C Balsdon
- Darren Barnharst
- Kaci Barth
- Tunyaluk Batchan
- William Bateman
- Joseph Thomas Bauer
All providers in Tomah, WI · Orthopaedic Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.