Thomas Palmer Bathrick, D.O.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

02000736A Issued in IN

Practice address

1432 Lincoln Way E
South Bend, IN 46613-3205

Phone

(574) 234-0851

Fax

(574) 234-7072

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1285646711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466133205",
            "telephone_number": "574-234-0851",
            "fax_number": "574-234-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466133205",
            "telephone_number": "574-234-0851",
            "fax_number": "574-234-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHRICK",
        "first_name": "THOMAS",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "02000736A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100139490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Bateast
• Amanda Bates, MS ED
• Ashlee Bates
• Sharday Bates
• Alyssa Batey, RBT
• Abigail M Battjes, DO
• Edward Nicholas Battjes, PHARMD
• Cheryl Bauer
• Jennifer S Bauer, NP
• Michael Duane Baughman, BA

• Critical Care Medicine (Internal Medicine) Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Critical Care Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.