Dr Badi Altawil MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35072864 Issued in OH

Legal business name

DR BADI ALTAWIL MD LLC

Practice address

4439A Mahoning Ave NW
Warren, OH 44483-1932

Phone

(330) 847-6527

Fax

(330) 847-6572

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Julie Altawil

Title

Office Manager

Phone

(330) 847-6527

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JECHBD

Practitioners 1

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

• Badi Altawil, MD

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1841281797
  Medicare reassignment

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1891751996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439A MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831932",
            "telephone_number": "330-847-6527",
            "fax_number": "330-847-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439A MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831932",
            "telephone_number": "330-847-6527",
            "fax_number": "330-847-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BADI ALTAWIL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ALTAWIL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-847-6527"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35072864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.