Jason T Bakich DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003043 Issued in OH

Legal business name

JASON T BAKICH DPM LLC

Practice address

29101 Health Campus Dr
Westlake, OH 44145-5270

Phone

(440) 899-4399

NPI assigned

Oct 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason T Bakich, DPM

Title

Owner

Phone

(440) 899-4399

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reed B Graham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Akron, OH
  • NPI 1114915931

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1104015304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-899-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-899-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T BAKICH DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "BAKICH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-899-4399",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2882939",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DH1917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney James
• Jennifer Lee Janas, AGNP-C
• Pamela Jaras, LISW
• Lisa Ann Jaros, RPH
• Melissa Ann Jarufe, LMT
• Ann Javorsky
• Kevin Jaworski
• Jenna Lynn Jeffries, PA
• Candie Jemison
• Bianca N Jenkins

• Podiatrist in Westlake, OH
• Providers in Westlake, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.