David Paul Bafford, DO
Individual provider Active NPI Emergency Medicine Physician · Lima, OH
NPI 1497798151 · NPPES record last updated Aug 10, 2009
Key facts
- NPI
- 1497798151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 34.007602 (OH)
- Practice address
- 1001 Bellefontaine Ave
Lima, OH 45804-2800 - Phone
- (419) 228-3335
- Fax
- (419) 226-5113
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070104000097 | OH | Practitioner - Emergency Medicine | 0547155665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053666 | GA | MD | Emergency Medicine Physician |
| 34.007602 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Emergency Professionals Inc | Emergency Medicine | Current |
Accepting new patients |
| Middletown Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Greene Emergency Medical Services | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 053666 | GA | |
| Emergency Medicine Physician | 207P00000X | 34.007602 | OH | Yes |
Addresses
Primary practice location
1001 Bellefontaine Ave
Lima, OH 45804-2800
Mailing address
3927 S Ashleaf LN
Beavercreek, OH 45440-5105
Phone (937) 426-0029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000527458 | Other | OH | ANTHEM BCBS |
| 447822139B | Medicaid | GA | |
| 2262171 | Medicaid | OH |
Other providers in Lima, OH
- Lindsey M Babcock
- Back on Track Therapy and Wellness, LLC
- Jennifer Anita Bacon
- Alekhya Deepthi Badam
- Tysha Bader
- James E Bagenstose
- Latasha N Bagley
- Shakeel A Bahadur
- Dorothy Kay Bailey
- Jamie Bailey
All providers in Lima, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.