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JASON T BAKICH DPM LLC NPI 1104015304


NPI Information

NPI: 1104015304
Provider Name: JASON T BAKICH DPM LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
29101 HEALTH CAMPUS DR
WESTLAKE, OH
ZIP 44145
Phone: (440) 899-4399
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JASON T BAKICH DPM LLC is a podiatrist in Westlake, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. JASON T BAKICH DPM LLC NPI is 1104015304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29101 HEALTH CAMPUS DR
WESTLAKE, OH
ZIP 44145-270
Phone: (440) 899-4399

The provider's authorized official is Jason T Bakich .
The authorized official title is Owner and has the following contact phone number (440) 899-4399.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 3/2/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist36003043OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DH1917OTHEROHIORAILROAD MEDICARE
22882939MEDICAIDOHIO
34451680001MEDICARE NSCOHIO
49322031MEDICARE PINOHIO

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

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