MARA BANKS


Address: 593 Eddy St, Providence, RI 02903-4923
Phone: 4014445057

MARA BANKS (NPI# 1508249392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508249392
Entity Type Individual
Full Name MARA BANKS
Credential MD, PHD
Practice Address 593 Eddy St
Providence
RI 02903-4923
Practice Telephone 4014445057
Practice Fax Number 4016061233
Mailing Telephone 4014445057
Mailing Fax Number 4016061233
Enumeration Date 2015-06-30
Last Update Date 2020-06-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0101X Pathology
Specialization: Anatomic Pathology
LP04867 RI Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
11070719-1205 UT Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
7664 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1120 15th St, Augusta, GA 309120004 7067215118
15 Medical Dr Ste 1100, Salt Lake City, UT 841121100 8015814390

Office Location

Street Address 593 EDDY ST
City PROVIDENCE
State RI
Zip Code 02903-4923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952306185 Mitchel A Sklar Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2005-06-15
1376140707 Kristen Marie Czekanski Student in an Organized Health Care Education/Training Program 593 Eddy St, Providence, RI 02903-4923 2020-10-08
1326645300 Elizabeth Stefanilo Nurse Practitioner 593 Eddy St, Providence, RI 02903-4923 2020-10-03
1841807633 Julie Walden Student in an Organized Health Care Education/Training Program 593 Eddy St, Providence, RI 02903-4923 2020-09-26
1417567751 Yigit Baykara Pathology 593 Eddy St, Providence, RI 02903-4923 2020-08-02
1588273064 Cassandra Pagnotta Dietitian, Registered 593 Eddy St, Providence, RI 02903-4923 2020-07-30
1982213294 Sabitha Sasidharan Pillai Pediatrics 593 Eddy St, Providence, RI 02903-4923 2020-07-23
1861019481 Courtney Pedersen Emergency Medicine 593 Eddy St, Providence, RI 02903-4923 2020-06-30
1508483496 Mohammad Hisham Hout Urology 593 Eddy St, Providence, RI 02903-4923 2020-06-26
1639796642 Benjamin Hagan Emergency Medicine 593 Eddy St, Providence, RI 02903-4923 2020-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 207ZP0101X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588032486 Liz Edmund Pathology 593 Eddy St, Providence, RI 02903-4923 2015-09-09
1558781260 Katelyn Dannheim Drew Pathology 593 Eddy Street, Apc 12, Providence, RI 02903-4923 2014-04-21
1790072296 Calvin E Oyer Pathology 101 Dudley St, Providence, RI 02905-2401 2011-07-05
1952544264 Ali Amin Pathology 593 Eddy St, Providence, RI 02903-4923 2009-04-16
1770756819 Christopher Pope Elco Pathology 593 Eddy Street, Apc 12, Providence, RI 02903 2008-04-09
1528285467 Evgeny Yakirevich Pathology 593 Eddy St, Department of Pathology Rih Apc 12, Providence, RI 02903-4923 2007-04-20
1780703173 Alexander M Chirkov Pathology 48 Orms St, Providence, RI 02904-2222 2007-03-28
1487770129 University Pathology Pathology 825 Chalkstone Ave, Roger Williams Med Ctr, Pathology Dept., Providence, RI 02908-4728 2007-03-22
1245332642 Paul Ferbend Pathology 825 Chalkstone Ave, Roger Williams Medical Center/pathology Dept., Providence, RI 02908-4728 2006-09-05
1023021623 N Peter Libbey Pathology 825 Chalkstone Ave, Roger Williams Medical Center/pathology Dept., Providence, RI 02908-4728 2006-08-14
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City PROVIDENCE
Zip Code 02903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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