MR. STEVEN ROBERT BOUYACK PA-C NPI 1609379809

NPI Information

NPI: 1609379809
Provider Name: MR. STEVEN ROBERT BOUYACK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: OHIOHEALTH CORPORATION

PECOS Registration: Yes

Address:
303 E TOWN ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 788-5000
Get Directions

MR. Steven Robert Bouyack, PA-C is a medical physician assistant in Columbus, OH with 7 years of experience. MR. Steven Robert Bouyack, PA-C NPI is 1609379809. 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:

303 E TOWN ST
COLUMBUS, OH
ZIP 43215-601
Phone: (614) 788-5000
Fax: (614) 788-5510

The NPI 1609379809 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 3/14/2018 and was last updated on 1/25/2022.

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	363AM0700X	Physician Assistant	Medical	50.005428RX	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	50.005428RX	OTHER	OHIO	STATE MEDICAL BOARD OF OHIO
2	1149614	OTHER		NCCPA
3	0315708	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: 11/14/2023

NPI Synchronization or Removal

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