Angela Badra DO, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101012489 Issued in MI

Legal business name

ANGELA BADRA DO, PC

Practice address

204 W Exchange St
Owosso, MI 48867-2818

Phone

(989) 723-0046

Fax

(989) 723-0052

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Angela Badra, DO

Title

Owner

Phone

(989) 723-0046

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1508077140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W EXCHANGE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672818",
            "telephone_number": "989-723-0046",
            "fax_number": "989-723-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W EXCHANGE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672818",
            "telephone_number": "989-723-0046",
            "fax_number": "989-723-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA BADRA DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "BADRA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-723-0046",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101012489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00209171",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amber Lynn Andrews
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• Jessica Le Angst
• Phincy Treesa Arangattu, MD
• James A Arceo, PA C
• Jason T Ardelean, MSN, FNP-C
• Jonathan Arend, RPH, CGP, FASCP

• All providers in Owosso, MI
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.