Bogdan Calin Vatra, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

241854 Issued in NY

Practice address

6 Euclid Avenue
Cortland, NY 13045-1257

Phone

(607) 756-9470

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Cortland Gi

  • Internal Medicine Physician
  • Cortland, NY
  • NPI 1659754745
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1639267107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EUCLID AVENUE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451257",
            "telephone_number": "607-756-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EUCLID AVENUE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451257",
            "telephone_number": "607-756-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATRA",
        "first_name": "BOGDAN",
        "middle_name": "CALIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241854",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "241854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02825107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeni Lynne Vancise, CRPA
• Nicole Leigh Vanderhoff, RN
• Clay J Vandoren, DO
• Teresa Deviney Vanheusen, LCSW-R
• Brittany Michelle Vanwinkle, CASAC ADVANCED LEVEL
• Margaret Crane Vormwald, O.T.
• Jason Vottero, PHARMD
• Rebecca Elizabeth Wahl, NP
• Vincenza Ann Wahlrab, M.S. SPECIAL ED.
• Wal-Mart Stores East LP

• Internal Medicine Physician in Cortland, NY
• Providers in Cortland, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.