ANN M BACEVICE MD NPI 1760414593

NPI Information

NPI: 1760414593
Provider Name: ANN M BACEVICE, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700
Get Directions

Ann M Bacevice, MD is a pediatric emergency medicine pediatrics in Cleveland, OH. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Ann M Bacevice, MD NPI is 1760414593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700
Fax: (216) 286-6341

The NPI 1760414593 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 7/6/2006 and was last updated on 6/30/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	35080264	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	BA7323241	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	000000527950	OTHER	OHIO	ANTHEM
3	1021123120001	OTHER	PENNSYLVANIA	PA MEDICAID
4	P00411237	OTHER	OHIO	RAILROAD MEDICARE
5	363418	OTHER	OHIO	WELLCARE
6	BA4208371	MEDICARE PIN	OHIO
7	7515338	OTHER	OHIO	AETNA
8	I08562	MEDICARE UPIN
9	000000221286	OTHER	OHIO	UNISON
10	750458	OTHER	OHIO	BUCKEYE
11	2350263	MEDICAID	OHIO

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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