Valerie Lynne Bazylewicz, MD
Individual provider Active NPI Family Medicine Physician · Mount Orab, OH
NPI 1295950400 · NPPES record last updated Sep 12, 2021
Key facts
- NPI
- 1295950400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35071154 (OH)
- Practice address
- 106 Kayleigh Dr
Mount Orab, OH 45154-7514 - Phone
- (937) 444-4385
- Fax
- (937) 712-3161
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 31, 2015 through Jul 31, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35071154 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35071154 | OH | Yes |
Addresses
Primary practice location
106 Kayleigh Dr
Mount Orab, OH 45154-7514
Mailing address
106 Kayleigh Dr
Mount Orab, OH 45154-7514
Phone (937) 444-4385
Other names
- Valerie Lynne Richey
Other providers in Mount Orab, OH
- Kyle Bailey
- Melanie Ann Ballein
- Justyne Payge Barnes
- Orion Michael Barr
- Lili Ann Barski
- Jessica Beebe
- David Begley
- Rosa Lee Begley
- Alixsae Behlke
- Daniel Raymond Behrens
All providers in Mount Orab, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.