Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lawrence Estel Banta, MD

Individual provider Psychiatry Physician · NPI 1568440295

Lawrence Estel Banta, MD is a Psychiatry in Caldwell, Idaho. Graduated from University of Nebraska College of Medicine in 1978, 48 years ago. Practices with West Valley Medical Associates Inc, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
48
Trained at
University of Nebraska College of Medicine
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1906 Fairview Ave Ste 200
Caldwell, ID 83605-5407
Phone: (208) 459-4667
Fax: (208) 442-6520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence M-5243 (ID)

Record details

NPI number1568440295
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESFebruary 10, 2022
Certification dateNovember 24, 2020
Mailing addressPo Box 277976, Atlanta, GA 30384-7976

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice West Valley Medical Associates Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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