DR. ANDREA KIRSTIN BACANI M.D. NPI 1730163239

NPI Information

NPI: 1730163239
Provider Name: DR. ANDREA KIRSTIN BACANI, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
4403 HARRISON BLVD
STE 3650
OGDEN, UT
ZIP 84403
Phone: (801) 387-7125
Get Directions

DR. Andrea Kirstin Bacani, M.D. is a rheumatology internal medicine in Ogden, UT. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Andrea Kirstin Bacani, M.D. NPI is 1730163239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4403 HARRISON BLVD
STE 3650
OGDEN, UT
ZIP 84403-271
Phone: (801) 387-7125

The enumeration date for this NPI number is 11/30/2005 and was last updated on 8/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	51043	MINNESOTA	No
2	207R00000X	Internal Medicine		34524	ARIZONA	No
3	207RR0500X	Internal Medicine	Rheumatology	103872	MINNESOTA	No
4	207RR0500X	Internal Medicine	Rheumatology	8027519-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00728951	OTHER	MINNESOTA	RAILROAD MEDICARE
2	Z115730	MEDICARE PIN	ARIZONA
3	ENROLLED	MEDICAID	MINNESOTA
4	660000232	MEDICARE PIN	MINNESOTA
5	223832	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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