Jessica L. Bartock, D.O,

Surgery Physician · Auburn, IN

Individual Active NPI

NPI number 1083977151

Practice location

1314 E 7TH St Ste 103
Auburn, IN 46706-2533
Phone
(260) 920-2710
Fax
(260) 927-9521

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NPI record

NPI
1083977151
Entity type
Individual (Type 1)
Enumeration date
June 22, 2012
Last updated
June 4, 2024
Certified
June 4, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 02006582A IN
Surgery Physician 208600000X 5101019735 MI

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

About Dr. Bartock

Jessica L. Bartock, D.O, is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1314 E 7TH St Ste 103, Auburn, IN 46706-2533. The NPI number 1083977151 was assigned on June 22, 2012 and the record was last updated on June 4, 2024.

Dr. Bartock lists 2 licenses in the registry: #02006582A (IN) for Surgery Physician; #5101019735 (MI) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica L. Bartock, D.O,?

The NPI number is 1083977151.

What is the phone number of Dr. Bartock?

The phone number listed for the practice location is (260) 920-2710.

Where is Dr. Bartock located?

1314 E 7TH St Ste 103, Auburn, IN 46706-2533.

What is the taxonomy code for Dr. Bartock?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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