ROBERT BOLTUCH MD NPI 1588657779

NPI Information

NPI: 1588657779
Provider Name: ROBERT BOLTUCH, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (440) 423-1356
Get Directions

Robert Boltuch, MD is a diagnostic radiology radiology in Cleveland, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert Boltuch, MD NPI is 1588657779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (440) 423-1356

The enumeration date for this NPI number is 8/24/2005 and was last updated on 6/4/2008.

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	2085R0202X	Radiology	Diagnostic Radiology	35038688	OHIO	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	000000516213	OTHER	OHIO	ANTHEM
2	A76411	MEDICARE UPIN	OHIO
3	BO4069509	MEDICARE ID-TYPE UNSPECIFIED	OHIO
4	363371	OTHER	OHIO	WELLCARE
5	0304914	OTHER	OHIO	BCMH
6	0312852	MEDICAID	OHIO
7	B04175782	MEDICARE PIN	OHIO
8	4230665	OTHER	OHIO	AETNA
9	000000221019	OTHER	OHIO	UNISON
10	735110	OTHER	OHIO	BUCKEYE
11	P00405346	OTHER	OHIO	RAILROAD MEDICARE

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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