Organization Active NPI

Sharad H. Bhatt MD, Inc

  • Geriatric Psychiatry Physician
  • North Canton, OH
National Provider Identifier
1750301511
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
SHARAD H. BHATT MD, INC
Practice address
907 S Main St
North Canton, OH 44720-3625
Phone
(330) 494-7302
Fax
(330) 494-0830
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Brenda Means
Title
Office Manager
Phone
(330) 494-7302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

907 S Main St
North Canton, OH 44720-3625

Mailing address

907 S Main St
PO Box 2367
North Canton, OH 44720-3625
Phone (330) 494-7302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000476 OH Part B Supplier - Clinic/Group Practice 5092897231 Receives reassigned benefits from 1 practitioner
Practice locations: North Canton, OH

National Provider Directory

National Provider Directory

Locations

5771 Mayfair Rd
Green, OH 44720
Phone (330) 494-7302

907 S Main St
North Canton, OH 44720
Phone (330) 494-7302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1750301511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S MAIN ST",
            "address_2": "PO BOX 2367",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203625",
            "telephone_number": "330-494-7302",
            "fax_number": "330-494-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203625",
            "telephone_number": "330-494-7302",
            "fax_number": "330-494-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAD H. BHATT MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-494-7302"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.