Robert A. Bazylak in Conneaut Lake - Family Medicine
Robert A. Bazylak - NPI 1285614263
Robert A. Bazylak is a Family Medicine in Conneaut Lake, Pennsylvania. Robert A. Bazylak practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert A. Bazylak is 1285614263. The last update date is 2017-01-27.
Robert A. Bazylak's current location address is 12387 Conneaut Lake Rd, Conneaut Lake, Pennsylvania. You can contact this provider via phone number 8143820221 and fax number 8143820231. The mailing address for Robert A. Bazylak is 12387 Conneaut Lake Rd, Conneaut Lake, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert A. Bazylak |
|---|---|
| Address | 12387 Conneaut Lake Rd, Conneaut Lake, Pennsylvania |
| Phone Number | 8143820221 |
| Fax Number | 8143820231 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285614263 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2017-01-27 |
Provider Mailing Address Detail
| Address | 12387 Conneaut Lake Rd |
|---|---|
| City | Conneaut Lake |
| State | Pennsylvania (PA) |
| Post Code | 163164203 |
| Phone Number | 8143820221 |
| Fax Number | 8143820231 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD014601E |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4235190002 | PA | NATIONAL SUPPLIERS CLEARINGHOU | |
| 68787 | PA | UNISON HEALTH PLAN | |
| 205132 | PA | UPMC HEALTH PLAN | |
| 6738050001 | PA | -- | |
| P00303284 | PA | PALMETTO GBA-RAILROAD MEDICARE | |
| 251754199019 | PA | MEDICAL MUTUAL OF OHIO | |
| B40196 | PA | HEALTH AMERICA | |
| 157308 | PA | HIGHMARK BLUE CROSS BLUE SHIEL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert A. Bazylak by the Centers for Medicare & Medicaid Services?
The Robert A. Bazylak has been assigned the NPI (National Provider Identifier) 1285614263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Robert A. Bazylak is located?
The Robert A. Bazylak is situated at the following address: 12387 Conneaut Lake Rd, Conneaut Lake, PA, 163164203.
What is Robert A. Bazylak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert A. Bazylak is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285614263 to Robert A. Bazylak?
The Centers for Medicare & Medicaid Services originally issued the 1285614263 to Robert A. Bazylak on 2006-01-18.
As of what date was the information regarding Robert A. Bazylak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert A. Bazylak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-01-27.
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