Virginia Deeanne Banks, MD
Individual provider Active NPI Infectious Disease Physician · Hermitage, PA
NPI 1659348563 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1659348563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- MD044146L (PA)
- Practice address
- 875 N Hermitage Rd
Suite 2
Hermitage, PA 16148-3278 - Phone
- (724) 347-4654
- Fax
- (724) 347-4784
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Infectious Disease
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Ohio Infectious Disease Association Inc
Practice addresses (Care Compare)
7000 S Ave
Suite 2
Boardman, OH 44512-3644
Phone (330) 744-4369
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180730001610 | OH | Practitioner - Infectious Disease |
1557269024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044146L | PA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Ohio Infectious Disease Association Inc | Infectious Disease | Current |
Accepting new patients |
| Sharon Regional Physicians Services | Past | Accepting new patients | |
| Sharon Regional Physicians Services | Past | Accepting new patients | |
| Northeastern Ohio Infectious Disease Association, Inc. | Infectious Disease | Past | Accepting new patients |
Locations
540 Parmalee Ave
Ste 610
Youngstown, OH 44510
Phone (330) 480-2078
7000 South Ave
Ste 2
Youngstown, OH 44512
Phone (330) 726-3456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD044146L | PA | Yes |
Addresses
Primary practice location
875 N Hermitage Rd
Suite 2
Hermitage, PA 16148-3278
Mailing address
875 N Hermitage Rd
Suite 2
Hermitage, PA 16148-3278
Phone (724) 347-4654
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011763400008 | Medicaid | PA | |
| 0011763400007 | Medicaid | PA | |
| 0400113 | Medicaid | OH |
Other providers in Hermitage, PA
- Baker Professional Counseling Inc
- Audrey Mary Bakuhn
- Larry E Baling
- John Balko
- Rebecca Elizabeth Banjak
- Brenda A Barber
- Cynthia Marie Barnes
- Jennifer Lynn Barnes
- Larry Edgar Barnett
- Sydney Barr
All providers in Hermitage, PA · Infectious Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.