Individual provider Active NPI

Virginia Deeanne Banks, MD

  • Infectious Disease Physician
  • Hermitage, PA
National Provider Identifier
1659348563
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD044146L Issued in 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
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD044146L PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730001610 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 1557269024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
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 IncGroup PAC ID 5799781829, 14 clinicians

Practice addresses (Care Compare)

7000 S Ave
Suite 2
Boardman, OH 44512-3644
Phone (330) 744-4369

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044146LPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Ohio Infectious Disease Association Inc Infectious Disease CurrentSince Jul 9, 2018 Accepting new patients
Northeastern Ohio Infectious Disease Association, Inc. Infectious Disease Past Accepting new patients
Sharon Regional Physicians Services Past Accepting new patients
Sharon Regional Physicians Services 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

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1659348563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N HERMITAGE RD",
            "address_2": "SUITE 2",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483278",
            "telephone_number": "724-347-4654",
            "fax_number": "724-347-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N HERMITAGE RD",
            "address_2": "SUITE 2",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483278",
            "telephone_number": "724-347-4654",
            "fax_number": "724-347-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "VIRGINIA",
        "middle_name": "DEEANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD044146L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.