DR. EUGENA BAZIUK STEPHAN (NPI# 1508180118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508180118 |
| Entity Type | Individual |
| Full Name | DR. EUGENA BAZIUK STEPHAN |
| Credential | DMD |
| Practice Address |
600 Chestnut Street Ext Bradford PA 16701-5438 |
| Practice Telephone | 8143628478 |
| Mailing Telephone | (814) 362-8478 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2017-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
40838 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1032395030001 | 05 |
| Street Address |
600 CHESTNUT STREET EXT |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982643664 | James Mancini | Dentist | 600 Chestnut Street Ext, Bradford, PA 16701-2292 | 2006-06-06 |
| 1184912750 | Dongwuk Cha | Dentist | 600 Chestnut Street Ext, Bradford, PA 16701-5438 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669039442 | Maryam A Chiani, Dmd, LLC | Dentist | 520 Washington Rd Ste 100, Pittsburgh, PA 15228-2814 | 2019-05-28 |
| 1518479450 | Hyemi Kim | Dentist | 1096 W Bridge St, Phoenixville, PA 19460-4905 | 2017-11-01 |
| 1801344023 | Atousa Azarbal | Dentist | 2078 Salk Anx, 3501 Terrace Street, Pittsburgh, PA 15261-0001 | 2016-09-16 |
| 1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
| 1609263326 | Rodney Wilson | Dentist | 2275 Swallow Hill Rd Bldg 2400, Pittsburgh, PA 15220-1676 | 2015-04-21 |
| 1083044804 | Arlene Ruth Kubit | Dentist | 3703 Old French Rd, Erie, PA 16504-1629 | 2013-11-14 |
| 1164782173 | Jamie M. Yum | Dentist | 1251 S Cedar Crest Blvd Ste 306, Allentown, PA 18103-6253 | 2012-05-23 |
| 1003116575 | Steve James Kukunas | Dentist | 3500 Fifth Avenue, Suite 301, Pittsburgh, PA 15213 | 2010-10-29 |
| 1639486541 | Hai Qing | Dentist | 1250 Greenwood Ave Ste 10, Jenkintown, PA 19046-2900 | 2010-09-13 |
| 1831426196 | David J. Fox, D.m.d., P.C. | Dentist | 2401 Pennsylvania Ave Ste 1a8, Philadelphia, PA 19130-3002 | 2009-11-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. EUGENA BAZIUK STEPHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.