DR. EDWARD P BAK (NPI# 1972715464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972715464 |
| Entity Type | Individual |
| Full Name | DR. EDWARD P BAK |
| Credential | D.P.M. |
| Practice Address |
7724 Silver Fox Drive Boardman OH 44512-5301 |
| Practice Telephone | 3307268455 |
| Mailing Telephone | 3307268455 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36. 001277 | OH | Podiatric Medicine & Surgery Service Providers |
| Street Address |
7724 SILVER FOX DRIVE |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619157781 | Austintown Podiatry Associates Inc | Podiatrist | 7010 South Ave, Boardman, OH 44512-3603 | 2007-11-06 |
| 1851398192 | Kenneth Emch | Podiatrist | 8175 Market St, Boardman, OH 44512-6244 | 2005-07-01 |
| 1891792115 | Frank Yannucci | Podiatrist | 755 Boardman Canfield Rd, Building F Unit 1, Boardman, OH 44512-4300 | 2005-07-01 |
| 1154328557 | John Barrett | Podiatrist | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 | 2005-06-30 |
| 1508054123 | Kwame A Williams | Podiatrist | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 | 2007-10-09 |
| 1073584686 | James Edwin Prommersberger | Podiatrist | 940 Windham Ct, Suite #3, Boardman, OH 44512-5060 | 2006-01-31 |
| 1942207733 | Lawrence Didomenico | Podiatrist | 8175 Market St, Boardman, OH 44512-6244 | 2005-07-07 |
| 1487651881 | Robert Debiec | Podiatrist | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518950 | Mobile Foot Care Specialists, L.L.C. | Podiatrist | 38752 Renwood Ave, Avon, OH 44011-5229 | 2020-11-06 |
| 1275159345 | Buckeye Foot Care | Podiatrist | 5105 Som Center Rd Ste 102, Willoughby, OH 44094-4203 | 2020-06-24 |
| 1285289439 | Brent L. Rubin & Associates Inc | Podiatrist | 755 W South Boundary St, Perrysburg, OH 43551-5226 | 2019-08-05 |
| 1902467459 | Zaccardelli and Ritz | Podiatrist | 5556 Ridge Rd, Parma, OH 44129-2305 | 2019-06-25 |
| 1134786635 | Integrity Foot and Ankle Associates, LLC | Podiatrist | 1740 Cooper Foster Park Rd W Ste B, Lorain, OH 44053-4201 | 2019-05-21 |
| 1891351185 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 1 Healthy Place, Suite 202, Pataskala, OH 43062-7067 | 2019-05-13 |
| 1376109660 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 65 E Granville St, Sunbury, OH 43074-9130 | 2019-05-13 |
| 1770149296 | Foot and Ankle Specialists of Central Ohio, LLC | Podiatrist | 6002 E. Main Street, Columbus, OH 43213-3355 | 2019-05-10 |
| 1295390268 | Greenberg Foot and Ankle | Podiatrist | 1989 Miamisburg Centerville Rd Ste 200, Dayton, OH 45459-3858 | 2019-05-06 |
| 1083278287 | Kburtondpm LLC | Podiatrist | 662 Seagull Ct, Westerville, OH 43082-8534 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
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| 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.