Organization Active NPI

William Bartels, M.D., Inc.

  • General Practice Physician
  • Canfield, OH
National Provider Identifier
1407150683
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35-06-3289 Issued in OH
Legal business name
WILLIAM BARTELS, M.D., INC.
Practice address
459 Lisbon St
Canfield, OH 44406-1424
Phone
(330) 533-9515
Fax
(330) 533-9619
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
William T Bartels, M.D.
Title
President
Phone
(330) 533-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 35-06-3289 OH Primary

Addresses

Primary practice location

459 Lisbon St
Canfield, OH 44406-1424

Mailing address

459 Lisbon St
Canfield, OH 44406-1424
Phone (330) 533-9515

Other identifiers 1

IdentifierTypeStateIssuer
0908254MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1407150683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 LISBON ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061424",
            "telephone_number": "330-533-9515",
            "fax_number": "330-533-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 LISBON ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061424",
            "telephone_number": "330-533-9515",
            "fax_number": "330-533-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BARTELS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BARTELS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-533-9515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "35-06-3289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.