Provider Demographics
NPI:1023064094
Name:BARTMAN, VERONIQUE C (MD)
Entity type:Individual
Prefix:
First Name:VERONIQUE
Middle Name:C
Last Name:BARTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VERONIQUE
Other - Middle Name:
Other - Last Name:STASSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-5123
Mailing Address - Fax:
Practice Address - Street 1:160 W WILSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2676
Practice Address - Country:US
Practice Address - Phone:614-293-5123
Practice Address - Fax:614-293-4980
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35098441207Q00000X
KY38429207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2440639Medicaid
KYP00856613OtherRAILROAD MEDICARE
KYP00856613OtherRAILROAD MEDICARE
OHH074160Medicare PIN