PETER BAMBAKIDIS MD NPI 1598731275

NPI Information

NPI: 1598731275
Provider Name: PETER BAMBAKIDIS, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
25200 CENTER RIDGE RD
STE 2100
WESTLAKE, OH
ZIP 44145
Phone: (440) 331-4053
Get Directions

Peter Bambakidis, MD is a neurology psychiatry neurology in Westlake, OH with 40 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Peter Bambakidis, MD NPI is 1598731275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1984

The provider's business location address is:

25200 CENTER RIDGE RD
STE 2100
WESTLAKE, OH
ZIP 44145
Phone: (440) 331-4053
Fax: (440) 331-4073

The NPI 1598731275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 5/27/2008.

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	2084N0400X	Psychiatry & Neurology	Neurology	35058627B	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	0501061	OTHER		UNITED HEALTHCARE
2	10788157	OTHER		CAQH
3	4117752	OTHER		AETNA
4	0644848	MEDICARE PIN	OHIO
5	D3683041	OTHER		GROUP IND DIAGNOSTICS MED
6	E29830	MEDICARE UPIN
7	000000246863	OTHER		ANTHEM
8	34-1783789	OTHER		GROUP TIN
9	0119204	OTHER		GROUP MEDICAID
10	3610861	OTHER		GROUP ASC MEDICARE
11	0749284	MEDICAID	OHIO
12	9273172	OTHER		GROUP MEDICARE
13	102920	OTHER		KAISER
14	1780634279	OTHER		GROUP NPI
15	F58622	OTHER		SUMMACARE APEX
16	CA4511	OTHER		GROUP RR MEDICARE
17	341783789093	OTHER		CARESOURCE

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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