Badr K. Ghumrawi, M.D. Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

35036836 Issued in OH

Legal business name

BADR K. GHUMRAWI, M.D. INC.

Practice address

6693 N Chestnut St
Suite 268a
Ravenna, OH 44266-3922

Phone

(330) 296-2829

Fax

(330) 296-7202

NPI assigned

Jan 27, 2008

Organization subpart

No

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

Authorized official

Name

Badr K Ghumrawi, MD

Title

President, Owner

Phone

(330) 296-2829

Specialties & licenses 3

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1201392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1639356116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST",
            "address_2": "SUITE 268A",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663922",
            "telephone_number": "330-296-2829",
            "fax_number": "330-296-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST",
            "address_2": "SUITE 268A",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663922",
            "telephone_number": "330-296-2829",
            "fax_number": "330-296-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADR K. GHUMRAWI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-27",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "GHUMRAWI",
        "authorized_official_first_name": "BADR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "330-296-2829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35036836",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35036836",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35036836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "099507636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE",
            "identifier": "27174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231538",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4132029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "71479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Bacon
• Diane Bader
• Haley Bader
• Phyllis Badgley
• Katie Badovick
• Alexa Ann Baer
• Janet Bahle, CNS
• Timothy Darrell Baker
• Shanieka Bankston
• Richard M Banozic, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.