Stephen E Bash in Peoria - Pediatric Cardiology
Stephen E Bash - NPI 1417041666
Stephen E Bash is a Pediatric Cardiology in Peoria, Illinois. Stephen E Bash practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Stephen E Bash is 1417041666. The last update date is 2020-12-09.
Stephen E Bash's current location address is 6161 N Trails End, Peoria, Illinois. You can contact this provider via phone number 3096922664 and fax number 3096922664. The mailing address for Stephen E Bash is 6161 N Trails End, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen E Bash |
|---|---|
| Address | 6161 N Trails End, Peoria, Illinois |
| Phone Number | 3096922664 |
| Fax Number | 3096922664 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417041666 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-12-09 |
Provider Mailing Address Detail
| Address | 6161 N Trails End |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616143524 |
| Phone Number | 3096922664 |
| Fax Number | 3096922664 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
| Licence No | 036-070694 |
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Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36070694 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephen E Bash by the Centers for Medicare & Medicaid Services?
The Stephen E Bash has been issued the NPI (National Provider Identifier) 1417041666 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stephen E Bash?
The Stephen E Bash is physically situated at 6161 N Trails End, in the city of Peoria, state of IL, with the postal code 616143524.
What is Stephen E Bash's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen E Bash's specialized field of practice is Pediatric Cardiology, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0202X.
On what date did the Stephen E Bash receive the assignment of its 1417041666 from the Centers for Medicare & Medicaid Services?
The Stephen E Bash was issued its 1417041666 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information related to Stephen E Bash most recently updated or refreshed?
The details pertaining to the Stephen E Bash, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-09.
NPI Number: 1467458307
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