DR. JOHN JAMES KAVLICH MD NPI 1063413300

NPI Information

NPI: 1063413300
Provider Name: DR. JOHN JAMES KAVLICH, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
276 W BAGLEY RD
BEREA, OH
ZIP 44017
Phone: (440) 816-1888
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DR. John James Kavlich, MD is a general practice in Berea, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. John James Kavlich, MD NPI is 1063413300. 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:

276 W BAGLEY RD
BEREA, OH
ZIP 44017-878
Phone: (440) 816-1888
Fax: (440) 816-0786

The enumeration date for this NPI number is 8/9/2005 and was last updated on 8/11/2010.

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	208D00000X	General Practice		35057128K	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
1	KA0675886	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	E76083	MEDICARE UPIN	OHIO
3	0764669	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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