Individual provider Active NPI

Adrian Clint Banks, D.O.

  • Family Medicine Physician
  • Campton, KY
National Provider Identifier
1891089561
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03584 Issued in KY
Practice address
239 Mountain Parkway Spur Rd
Campton, KY 41301-8988
Phone
(606) 668-3120
Fax
(606) 668-3125
NPI assigned
May 31, 2011
Last updated
Jun 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03584 KY Primary

Addresses

Primary practice location

239 Mountain Parkway Spur Rd
Campton, KY 41301-8988

Mailing address

PO Box 220
Campton, KY 41301-0220
Phone (606) 668-6932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708002120 KY Practitioner - Family Practice 7214249937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Clinics of Kentucky LLCGroup PAC ID 2668457094, 15 clinicians

Practice addresses (Care Compare)

1060 Grand Ave
Beattyville, KY 41311-9104
Phone (606) 464-0108

172 Pedro Way
Winchester, KY 40391-8354
Phone (859) 306-8368

219 Mountain Pkwy Spur Rd
Campton, KY 41301-8988
Phone (606) 668-3120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Clinics of Kentucky LLC CurrentSince May 30, 2015 Accepting new patients
United Clinics of Kentucky LLC CurrentSince May 30, 2015 Accepting new patients
United Clinics of Kentucky LLC Past Accepting new patients
United Clinics of Kentucky LLC Past Accepting new patients

Locations

95 Jackson Hts
Ste A
Jackson, KY 41339
Phone (606) 718-6505

172 Pedro Way
Winchester, KY 40391
Phone (859) 306-8368

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1891089561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413010220",
            "telephone_number": "606-668-6932",
            "fax_number": "606-668-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MOUNTAIN PARKWAY SPUR RD",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413018988",
            "telephone_number": "606-668-3120",
            "fax_number": "606-668-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "ADRIAN",
        "middle_name": "CLINT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campton, KY

Sources for this page

Verify at the official NPI Registry.