Individual provider Active NPI

David A Bartnick, MD

  • Family Medicine Physician
  • Heath, OH
National Provider Identifier
1588631808
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35070427 Issued in OH
Practice address
687 Hopewell Drive
BLDG. 2
Heath, OH 43056
Phone
(220) 564-7915
Fax
(220) 564-7916
NPI assigned
Mar 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35070427 OH Primary

Addresses

Primary practice location

687 Hopewell Drive
BLDG. 2
Heath, OH 43056

Mailing address

687 Hopewell Drive
BLDG. 2
Heath, OH 43056
Phone (220) 564-7915

Other identifiers 1

IdentifierTypeStateIssuer
0247101MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbartnick14307@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation Family Medicine Current Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

998 S Dorset Rd
Ste 301
Troy, OH 45373
Phone (937) 339-5441

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1588631808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 HOPEWELL DRIVE",
            "address_2": "BLDG. 2",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "43056",
            "telephone_number": "220-564-7915",
            "fax_number": "220-564-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 HOPEWELL DRIVE",
            "address_2": "BLDG. 2",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "43056",
            "telephone_number": "220-564-7915",
            "fax_number": "220-564-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTNICK",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35070427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247101",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbartnick14307@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "687 Hopewell Drive",
            "address_2": "Bldg. 2",
            "city": "Heath",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.