Victor H Bazzoli, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35034402 Issued in OH

Practice address

2525 13TH St NW
Canton, OH 44708

Phone

(330) 455-5231

Fax

(330) 455-1403

NPI assigned

Jun 22, 2006

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westbrook OB/GYN, Inc.

  • Specialist
  • Canton, OH
  • NPI 1770779720

  Obstetrics & Gynecology

  NPD Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1255377651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 13TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-455-5231",
            "fax_number": "330-455-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 13TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-455-5231",
            "fax_number": "330-455-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZOLI",
        "first_name": "VICTOR",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35034402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cori Richard Baxter
• Kirkman G Baxter, MD
• Olivia Baxter
• Bayeah Place LLC
• Nadia Bayram, M.D.
• Be the Change Residential Services
• Adena Lenore Beach
• Elsworth Charles Beach, DO
• Kaely N Beach, OCPSA
• Rita Gail Beach, COTA

• Obstetrics & Gynecology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.