Bruce A Pasch, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

35.042865 Issued in OH

Practice address

1074 Patterson Rd
Kettering, OH 45420-1522

Phone

(937) 258-6330

NPI assigned

May 23, 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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Harbor

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
  • NPI 1366526782

  Developmental - Behavioral Pediatrics

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1437104288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 PATTERSON RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201522",
            "telephone_number": "937-258-6330",
            "fax_number": "937-586-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 PATTERSON RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201522",
            "telephone_number": "937-258-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCH",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "OH",
            "license": "35.042865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499518",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Paravati, M.D.
• Katherine S Parcells, CRNA
• Cecelia Jean Parker, DDS
• Mekhi William Von Parker
• Sylvia Vanna Parks, M.D.
• Rizwan Pasha, MD
• Akil P Patel, MD
• Krishna Patel, PHARMD, RPH
• Neil N Patel, D.O.
• Nipa Mukesh Patel, PHARMD

• Developmental - Behavioral Pediatrics Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Developmental - Behavioral Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.