Active NPI
Kids Care, P.C.
- Specialist
- Lawrenceburg, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01042855
- Legal business name
- KIDS CARE, P.C.
- Practice address
- 202 Walnut St
Lawrenceburg, IN 47025-1840 - Phone
- (812) 539-2142
- Fax
- (812) 539-3920
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bashar M Bouso, M.D,
- Title
- Owner
- Phone
- (812) 539-2142
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01042855 | IN | Primary |
Addresses
Primary practice location
202 Walnut St
Lawrenceburg, IN 47025-1840
Mailing address
202 Walnut St
Lawrenceburg, IN 47025-1840
Phone (812) 539-2142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100464610 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Kids Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Legal Medicine
- Lawrenceburg, IN
- NPI 1902080294
Locations
202 Walnut St
Lawrenceburg, IN 47025
Phone (812) 539-2142
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Lawrenceburg, IN
- NPI 1609883727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537142400000",
"number": "1386762250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 WALNUT ST",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470251840",
"telephone_number": "812-539-2142",
"fax_number": "812-539-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 WALNUT ST",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470251840",
"telephone_number": "812-539-2142",
"fax_number": "812-539-3920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2018-09-17",
"status": "A",
"authorized_official_last_name": "BOUSO",
"authorized_official_first_name": "BASHAR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-539-2142",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D,"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IN",
"license": "01042855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100464610",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.