Fizul Hussain Bacchus, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C20003111 Issued in DE

Practice address

863 Buttner Place
Suite 103
Dover, DE 19904-2334

Phone

(302) 734-3331

Fax

(302) 734-9908

NPI assigned

Nov 18, 2005

Last updated

Apr 3, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adolescent Medicine General Pediatrics & Allergy

  • Pediatrics Physician
  • Dover, DE
  • NPI 1053450981
  Authorized official Same address or phone

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1922080563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 BUTTNER PLACE",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042334",
            "telephone_number": "302-734-3331",
            "fax_number": "302-734-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 BUTTNER PLACE",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042334",
            "telephone_number": "302-734-3331",
            "fax_number": "302-734-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "FIZUL",
        "middle_name": "HUSSAIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C20003111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Azhar, MD
• Azulay Consulting Group
• Sheeba Habeeb Ba Aqeel, MD
• Fanta Ba
• Danita Baber, PHD
• Linda Denise Bacon
• Emily Badger, PA-C
• Kalene Candace Badree
• Robert Scott Baeder, D.O.
• Corazon A Bahia, M.D.

• Pediatrics Physician in Dover, DE
• Providers in Dover, DE by specialty
• Pediatrics Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.