Ronald Bathaw, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME0046366 Issued in FL

Practice address

80 Pinnacles Dr
Building B, Suite 700
Palm Coast, FL 32164-2323

Phone

(386) 586-2234

Fax

(386) 586-2884

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1780790691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35-2077",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321352077",
            "telephone_number": "386-586-2234",
            "fax_number": "386-586-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR",
            "address_2": "BUILDING B, SUITE 700",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642323",
            "telephone_number": "386-586-2234",
            "fax_number": "386-586-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHAW",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0046366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "156214BAT",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5873158",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliecer Barrueta Lopez, MD
• Barry S Poliner MD
• Mohamed Barry, PHARMD, RPH
• Jalin Basham
• Dashia A Bass
• Akram Batniji, M.D.
• Mary Grace Battaglia
• Kellie Kilpatrick Battillo, FNP-C, ARNP
• Cynthia Michelle Baxter, PMHNP
• Sara Bearden

• Orthopaedic Surgery Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.