Bastion Medical Practice of Florida, P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BASTION MEDICAL PRACTICE OF FLORIDA, P.A.

Practice address

400 Farmington Ave
Farmington, CT 06032-1913

Phone

(786) 220-0003

NPI assigned

Oct 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Vasanth Kainkaryam, MD

Title

President

Phone

(786) 220-0003

Specialties & licenses 1

Addresses

Other names 1

• Bastion Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1083330930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321913",
            "telephone_number": "786-220-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321913",
            "telephone_number": "786-220-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTION MEDICAL PRACTICE OF FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "KAINKARYAM",
        "authorized_official_first_name": "VASANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-220-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bastion Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen A Bascetta, LCSW
• Edan Bashkin, DO
• Leah W Bassin, MD
• Gabrielle Bastedo, MD
• Bastion Medical Practice of California, P.C.
• Bastion Medical Practice of Kansas PA
• Bastion Medical Practice of New Jersey PC
• Roopjeet Kaur Bath, M.B.B.S
• Caleb Micah Battersby, M.D.
• Athar Battoo, M.D.

• Urology Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.