Healthcare Provider Details

I. General information

NPI: 1104861145
Provider Name (Legal Business Name): CATHI ANN BADIK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHI ANN BRACE M.D.

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1089 PRAY BLVD
WATERVILLE OH
43566-8712
US

IV. Provider business mailing address

3000 ARLINGTON AVE STOP 1108
TOLEDO OH
43614-2595
US

V. Phone/Fax

Practice location:
  • Phone: 567-952-2100
  • Fax: 567-952-2101
Mailing address:
  • Phone: 419-383-5023
  • Fax: 419-383-6235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35087817
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: