Active NPI
Bastion Health Inc
- Urology Physician
- Tallahassee, FL
National Provider Identifier
1689270803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BASTION HEALTH INC
- Practice address
- 115 N Calhoun St Ste 4
Tallahassee, FL 32301-1568 - Phone
- (617) 678-3881
- NPI assigned
- Dec 11, 2020
- Organization subpart
- Yes
- Parent organization
- BASTION HEALTH HOLDINGS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reza Amin
- Title
- Ceo
- Phone
- (860) 245-1670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
115 N Calhoun St Ste 4
Tallahassee, FL 32301-1568
Mailing address
400 Farmington Ave
Farmington, CT 06032-1913
Phone (860) 245-1670
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | https://athenanet.athenahealth.com/ | Direct | |
| RESTful URL | https://www.athenanet.athenahealth.com/ | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/21577/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1689270803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321913",
"telephone_number": "860-245-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N CALHOUN ST STE 4",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323011568",
"telephone_number": "617-678-3881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASTION HEALTH INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BASTION HEALTH HOLDINGS INC",
"enumeration_date": "2020-12-11",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "AMIN",
"authorized_official_first_name": "REZA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "860-245-1670"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "https://athenanet.athenahealth.com/",
"affiliation": "N",
"endpointDescription": "Secure EMR software provided by Athene Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR Content and medical records",
"address_1": "115 N Calhoun St Ste 4",
"city": "Tallahassee",
"state": "FL",
"country_code": "US",
"postal_code": "323011568",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "https://www.athenanet.athenahealth.com/",
"affiliation": "N",
"endpointDescription": "Secure EMR software provided by Athene Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 N Calhoun St Ste 4",
"city": "Tallahassee",
"state": "FL",
"country_code": "US",
"postal_code": "323011568",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.