Active NPI
Bhawna Bhatia, MD
- Pediatrics Physician
- Holland, OH
National Provider Identifier
1205813151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 38410
- Practice address
- 1106 S McCord Rd
Holland, OH 43528-9596 - Phone
- (419) 868-1696
- Fax
- (419) 868-5223
- NPI assigned
- Dec 30, 2005
- Last updated
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 38410 | OH | Primary |
Addresses
Primary practice location
1106 S McCord Rd
Holland, OH 43528-9596
Mailing address
1106 S McCord Rd
Holland, OH 43528-9596
Phone (419) 868-1696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0352194 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38410 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1205813151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 S MCCORD RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289596",
"telephone_number": "419-868-1696",
"fax_number": "419-868-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 S MCCORD RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289596",
"telephone_number": "419-868-1696",
"fax_number": "419-868-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATIA",
"first_name": "BHAWNA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "38410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0352194",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.