Active NPI
Dorothy H Banish, M.D.
- Cardiovascular Disease Physician
- Covington, LA
National Provider Identifier
1821079773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 015918
- Practice address
- 67250 Industry LN
Suite B
Covington, LA 70433-8716 - Phone
- (985) 893-4711
- Fax
- (985) 893-9094
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 015918 | LA | Primary |
Addresses
Primary practice location
67250 Industry LN
Suite B
Covington, LA 70433-8716
Mailing address
PO Box 8865
Mandeville, LA 70470-8865
Phone (985) 893-4711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1349071 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006000962 | LA | Practitioner - Cardiovascular Disease (Cardiology) | 3072572957 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15918 | LA | MD | Pharmacist |
| 015918 | LA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Cardiovascular Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
| Tchefuncte Cardiovascular Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Slidell, LA
- NPI 1841505666
-
- Specialist
- Covington, LA
- NPI 1588645303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1821079773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8865",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704708865",
"telephone_number": "985-893-4711",
"fax_number": "985-893-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67250 INDUSTRY LN",
"address_2": "SUITE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338716",
"telephone_number": "985-893-4711",
"fax_number": "985-893-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANISH",
"first_name": "DOROTHY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "015918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1349071",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.