NPIMap

Individual provider Active NPI

Amy Lorraine Banks, M.D.

  • Family Medicine Physician
  • Midvale, UT
National Provider Identifier
1861437113
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6752592-1205 Issued in UT
Practice address
8446 S Harrison St
Midvale, UT 84047-3501
Phone
(801) 417-0131
Fax
(801) 255-5814
NPI assigned
Jun 19, 2006
Last updated
Mar 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46660 MN
Family Medicine Physician 207Q00000X 6752592-1205 UT Primary

Addresses

Primary practice location

8446 S Harrison St
Midvale, UT 84047-3501

Mailing address

8446 S Harrison St
Midvale, UT 84047-3501
Phone (801) 417-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041109000239 MN Practitioner - Family Practice 3173586344 Reassigns benefits to 2 organizations
I20080102000582 UT Practitioner - Family Practice 3173586344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Area Health Services, IncGroup PAC ID 4880681303, shared by 7 NPIs, 27 clinicians

Practice addresses (Care Compare)

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

415 N 2ND St
Suite 2
Tower, MN 55790-2103
Phone (218) 753-2405

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46660MNMDFamily Medicine Physician
6752592-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc CurrentSince Jun 1, 2016 Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc CurrentSince Jun 1, 2016 Accepting new patients
Olympus Family Medicine Family Medicine Past Accepting new patients
Fairview Clinics Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients
Cook Area Health Services, Inc Past Accepting new patients
Fairview Health Services Past Accepting new patients
Camden Physicians LTD. Family Medicine Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232

20 5th St SE
Cook, MN 55723
Phone (218) 666-5941

239 McKinley Ave
Eveleth, MN 55734
Phone (218) 361-3300

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1861437113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8446 S HARRISON ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473501",
            "telephone_number": "801-417-0131",
            "fax_number": "208-255-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8446 S HARRISON ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473501",
            "telephone_number": "801-417-0131",
            "fax_number": "801-255-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "AMY",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46660",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6752592-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.