John M Banko, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

153178 Issued in NY

Practice address

15 Degrandpre Way
Plattsburgh, NY 12901-6449

Phone

(518) 561-3900

Fax

(518) 561-7843

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1881686897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TRAFALGAR DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011325",
            "telephone_number": "518-561-8734",
            "fax_number": "518-561-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016449",
            "telephone_number": "518-561-3900",
            "fax_number": "518-561-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKO",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "153178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00967235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Forttrell Baker, PA
• Rhonda Marie Baker
• Shanna Ball, RN
• Jeremy R Ballard
• Sarah Mariel Ballard
• Nathalie Myrtho Baptiste, LPN
• Kerri A Barber, MA
• Lori L Barber, RPH
• Casey J Barcomb, PA-C
• Heidi E. Barcomb, CCC-SLP

• Urology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.