John Bacha, DO

Surgery Physician · Stuart, FL

Individual Active NPI

NPI number 1215129549

Practice location

2221 SE Ocean Blvd
Ste 200
Stuart, FL 34996-3341
Phone
(772) 219-4026
Fax
(772) 223-4919

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NPI record

NPI
1215129549
Entity type
Individual (Type 1)
Enumeration date
August 10, 2007
Last updated
November 14, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X OS11728 FL
Surgery Physician 208600000X 5101017517 MI

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone
(772) 223-5665
Fax
(772) 223-5646

About Dr. Bacha

John Bacha, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2221 SE Ocean Blvd, Ste 200, Stuart, FL 34996-3341. The NPI number 1215129549 was assigned on August 10, 2007 and the record was last updated on November 14, 2012.

Dr. Bacha lists 2 licenses in the registry: #OS11728 (FL) for Surgery Physician; #5101017517 (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 John Bacha, DO?

The NPI number is 1215129549.

What is the phone number of Dr. Bacha?

The phone number listed for the practice location is (772) 219-4026.

Where is Dr. Bacha located?

2221 SE Ocean Blvd, Ste 200, Stuart, FL 34996-3341.

What is the taxonomy code for Dr. Bacha?

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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