Active NPI
William Bartels, M.D., Inc.
- General Practice Physician
- Canfield, OH
National Provider Identifier
1407150683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35-06-3289
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0908254 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.