Peter Bainbridge, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004764 Issued in OH

Practice address

1490 Coshocton Ave
Suite B
Mount Vernon, OH 43050-6099

Phone

(740) 393-9111

Fax

(740) 399-3161

NPI assigned

Jan 30, 2006

Last updated

Dec 29, 2016By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knox Community Hospital

  • Family Medicine Physician
  • Mount Vernon, OH
  • NPI 1154483022
  Medicare reassignment NPD
• Knox Community Hospital

  dba KCH Northside Pharmacy

  • Community/Retail Pharmacy
  • Mount Vernon, OH
  • NPI 1073351557
  NPD
• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  NPD
• Knox Community Hospital

  dba Knox Community Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Vernon, OH
  • NPI 1366154064
  NPD
• Knox Community Hospital

  • Anesthesiology Physician
  • Mount Vernon, OH
  • NPI 1679626287
  NPD
• Genesis Emergency Physicians LLC

  • Emergency Medicine Physician
  • Zanesville, OH
  • NPI 1275773301

  Family Medicine

  NPD (past)
• Genesis Urgent Care Physicians, LLC

  • Primary Care Clinic/Center
  • Zanesville, OH
  • NPI 1013157841
  NPD (past)
• Medical Services of Coshocton, Inc

  • Internal Medicine Physician
  • Dresden, OH
  • NPI 1407889785
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1427029347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501440",
            "telephone_number": "740-393-9111",
            "fax_number": "740-399-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 COSHOCTON AVE",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430506099",
            "telephone_number": "740-393-9111",
            "fax_number": "740-399-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINBRIDGE",
        "first_name": "PETER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0749391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avalon Health & Rehab Center, LLC
• Margaret M Backiewicz
• Kelly Renea Bailey, RD, LD
• Misty Dawn Bailey, FNP-C
• Sadie Jayne Bailey, OTR/L
• Colton WB Baird
• Abby Baker, QMHS
• Jilliann K Baker
• Kaitlyn Baker
• Kristin E Baker, CNP

• Family Medicine Physician in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.