Organization Active NPI

Bastion Health Inc

  • Urology Physician
  • Tallahassee, FL
National Provider Identifier
1689270803
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
RESTful URL https://athenanet.athenahealth.com/ Direct
RESTful URL https://www.athenanet.athenahealth.com/ Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.