Organization Active NPI

P S Bains D O LLC

  • Internal Medicine Physician
  • Mount Gilead, OH
National Provider Identifier
1801836762
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3407968 Issued in OH
Legal business name
P S BAINS D O LLC
Practice address
245 Neal Ave Ste D
Mount Gilead, OH 43338-9372
Phone
(419) 947-3015
Fax
(419) 946-1308
NPI assigned
Jun 8, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Paramvir S. Bains, D.O.
Title
Physician
Phone
(419) 947-3015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3407968 OH Primary

Addresses

Primary practice location

245 Neal Ave Ste D
Mount Gilead, OH 43338-9372

Mailing address

245 Neal Ave Ste D
Mount Gilead, OH 43338-9372
Phone (419) 947-3015

Other identifiers 1

IdentifierTypeStateIssuer
2378949MedicaidOH

National Provider Directory

National Provider Directory

Locations

245 Neal Ave
Ste D
Mount Gilead, OH 43338
Phone (419) 946-1600

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1801836762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 NEAL AVE STE D",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389372",
            "telephone_number": "419-947-3015",
            "fax_number": "419-946-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NEAL AVE STE D",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389372",
            "telephone_number": "419-947-3015",
            "fax_number": "419-946-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P S BAINS D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BAINS",
        "authorized_official_first_name": "PARAMVIR",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-947-3015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "3407968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2378949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.