DR. LISA LOVAS BAKHOS MD NPI 1902932767

NPI Information

NPI: 1902932767
Provider Name: DR. LISA LOVAS BAKHOS, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
593 EDDY ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 519-1604
Get Directions

DR. Lisa Lovas Bakhos, MD is a pediatrics in Providence, RI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Lisa Lovas Bakhos, MD NPI is 1902932767. 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:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 519-1604
Fax: (401) 272-0538

The NPI 1902932767 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 2/26/2007 and was last updated on 2/5/2010.

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	208000000X	Pediatrics		L-221687	MASSACHUSETTS	No
2	208000000X	Pediatrics		MD12383	RHODE ISLAND	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	2146533	OTHER	MASSACHUSETTS	MA MEDICAID
2	007059893	OTHER	RHODE ISLAND	MEDICARE
3	LB69118	MEDICAID	RHODE ISLAND
4	939025129	OTHER	RHODE ISLAND	UEMF GROUP RI MEDICARE
5	04/15/2009	OTHER	RHODE ISLAND	UNITED HEALTHCARE
6	1962455022	OTHER	RHODE ISLAND	UEMF GROUP NPI
7	07282008	OTHER	RHODE ISLAND	BCBSRI
8	12/29/2008	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
9	12292008	OTHER	RHODE ISLAND	TUFTS
10	1902932767	OTHER	RHODE ISLAND	NPI

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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