Active NPI
Catherine Gaye Banks, M.D.
- Otolaryngology Physician
- Boston, MA
National Provider Identifier
1811409824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- L.4616
- Practice address
- 243 Charles Street
Department of Otolaryngology - Level 4
Boston, MA 02114 - Phone
- (617) 573-3653
- Fax
- (617) 573-3939
- NPI assigned
- Oct 31, 2017
- Reactivated
- Jul 10, 2018
- Last updated
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | L.4616 | AL | Primary |
Addresses
Primary practice location
243 Charles Street
Department of Otolaryngology - Level 4
Boston, MA 02114
Mailing address
243 Charles Street
Department of Otolaryngology - Level 4
Boston, MA 02114
Phone (617) 573-3653
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.4616 | AL | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1811409824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CHARLES STREET",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY - LEVEL 4",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-573-3653",
"fax_number": "617-573-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CHARLES STREET",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY - LEVEL 4",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-573-3653",
"fax_number": "617-573-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "CATHERINE",
"middle_name": "GAYE",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2018-07-10",
"deactivation_date": "2018-07-02",
"reactivation_date": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "L.4616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.