Organization Active NPI

Sudhir G. Baji, M.D. , Inc.

  • Urology Physician
  • Warren, OH
National Provider Identifier
1942467840
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35-039458 Issued in OH
Legal business name
SUDHIR G. BAJI, M.D. , INC.
Practice address
1700 E Market St
Suite# 110
Warren, OH 44483-6625
Phone
(330) 394-4755
Fax
(330) 399-4602
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Sudhir G Baji, M.D.NPI 1003872235
Title
President
Phone
(330) 394-4755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35-039458 OH Primary

Addresses

Primary practice location

1700 E Market St
Suite# 110
Warren, OH 44483-6625

Mailing address

1700 E Market St
Suite # 110
Warren, OH 44483-6625
Phone (330) 394-4755

Other identifiers 2

IdentifierTypeStateIssuer
000000129220OtherOHANTHEM BCBS
0308045MedicaidOH

National Provider Directory

National Provider Directory

Locations

1700 E Market St
Ste 110
Warren, OH 44483
Phone (330) 394-4755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1942467840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E MARKET ST",
            "address_2": "SUITE # 110",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836625",
            "telephone_number": "330-394-4755",
            "fax_number": "330-399-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E MARKET ST",
            "address_2": "SUITE# 110",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836625",
            "telephone_number": "330-394-4755",
            "fax_number": "330-399-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR G. BAJI, M.D. , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BAJI",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-394-4755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-039458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000129220",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308045",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

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