Physician Compare National (NPI:1679765309)

HEALTHCARE PROVIDER: MINDY ANN BANKS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679765309
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587880844
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140722001092
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BANKS
	Individual professional last name
Provider First Name	MINDY
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2365535572
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	13
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2055 N HIGH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 330
	Group Practice or individual's line 2 address
City	DENVER
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	802055545
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3033019010
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y