Individual provider Active NPI

Peter Murray Banks, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
National Provider Identifier
1689675183
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
19204 Issued in NC
Practice address
1910 Innovation Park Drive
Ventana Medical System
Tucson, AZ 85755
Phone
(520) 229-4197
Fax
(520) 229-4162
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 19204 NC Primary

Addresses

Primary practice location

1910 Innovation Park Drive
Ventana Medical System
Tucson, AZ 85755

Mailing address

1910 Innovation Park Drive
Ventana Medical System
Tucson, AZ 85755

Other identifiers 1

IdentifierTypeStateIssuer
8912918MedicaidNC

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
Carolinas Pathology Group, PA CurrentSince Nov 24, 2024 Accepting new patients
Carolinas Pathology Group, PA Anatomic Pathology & Clinical Pathology PastSince Nov 24, 2024 Accepting new patients
Pathology Associates Services, Inc Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1689675183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 INNOVATION PARK DRIVE",
            "address_2": "VENTANA MEDICAL SYSTEM",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 INNOVATION PARK DRIVE",
            "address_2": "VENTANA MEDICAL SYSTEM",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-229-4197",
            "fax_number": "520-229-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "PETER",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "19204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912918",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.