Healthcare Provider Details

I. General information

NPI: 1669976072
Provider Name (Legal Business Name): TRACY CAROLINE BANK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ZOLLINGER RD
COLUMBUS OH
43221-2849
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-2222
  • Fax: 614-293-4162
Mailing address:
  • Phone: 614-293-2222
  • Fax: 614-293-4162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number35.154706
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: