Surinder S. Bath, M.D.P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

122584 Issued in NY

Legal business name

SURINDER S. BATH, M.D.P.C.

Practice address

911 W Center St
Medina, NY 14103-1039

Phone

(585) 798-2699

Fax

(585) 798-3196

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Surinder S Bath, M.D.

Title

Owner

Phone

(585) 798-2699

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1982980348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W CENTER ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031039",
            "telephone_number": "585-798-2699",
            "fax_number": "585-798-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W CENTER ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031039",
            "telephone_number": "585-798-2699",
            "fax_number": "585-798-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURINDER S. BATH, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "BATH",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-798-2699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "122584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.