Provider Demographics
NPI:1104861145
Name:BADIK, CATHI ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHI
Middle Name:ANN
Last Name:BADIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATHI
Other - Middle Name:ANN
Other - Last Name:BRACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3355 GLENDALE AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-5322
Mailing Address - Fax:419-383-6235
Practice Address - Street 1:1089 PRAY BLVD
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-8712
Practice Address - Country:US
Practice Address - Phone:567-952-2100
Practice Address - Fax:567-952-2101
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35087817208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2670480Medicaid
OH2670480Medicaid
I56533Medicare UPIN