NPIMap

Organization Active NPI

Thomas P Bathrick DO, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • South Bend, IN
National Provider Identifier
1508048752
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
02000736A Issued in IN
Legal business name
THOMAS P BATHRICK DO, PC
Doing business as
Thomas P Bathrick DO, PC
Practice address
1432 Lincoln Way E
South Bend, IN 46613-3205
Phone
(574) 234-0851
Fax
(574) 234-7072
NPI assigned
Nov 29, 2007
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Dr. Thomas P Bathrick, D.O.NPI 1285646711
Title
Owner
Phone
(574) 234-0851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X 02000736A IN Primary

Addresses

Primary practice location

1432 Lincoln Way E
South Bend, IN 46613-3205

Mailing address

1432 Lincoln Way E
South Bend, IN 46613-3205
Phone (574) 234-0851

Other names 1

  • THOMAS P BATHRICK DO, PC Doing business as

National Provider Directory

National Provider Directory

Locations

1432 Lincoln Way E
South Bend, IN 46613
Phone (574) 234-0851

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1508048752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466133205",
            "telephone_number": "574-234-0851",
            "fax_number": "574-234-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466133205",
            "telephone_number": "574-234-0851",
            "fax_number": "574-234-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P BATHRICK DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "BATHRICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-234-0851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "02000736A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMAS P BATHRICK DO, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.