Individual provider Active NPI

Eduardo D. Vazquez, MD

  • Psychiatry Physician
  • Westlake, OH
National Provider Identifier
1699887943
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34-04-1016-V Issued in OH
Practice address
29133 Health Campus Dr
Westlake, OH 44145-5256
Phone
(440) 835-6212
Fax
(440) 835-6231
NPI assigned
Aug 31, 2006
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34-04-1016-V OH Primary

Addresses

Primary practice location

29133 Health Campus Dr
Westlake, OH 44145-5256

Mailing address

7101 Hillcreek LN
Gates Mills, OH 44040-9629
Phone (216) 464-9961

Other identifiers 1

IdentifierTypeStateIssuer
0308483MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000066 OH Practitioner - Psychiatry 6002713179 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Far West CenterGroup PAC ID 1153227848, 4 clinicians

Practice addresses (Care Compare)

29133 Health Campus Dr
Westlake, OH 44145-5256
Phone 4408356212247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Far West Center CurrentSince Oct 1, 1987 Accepting new patients
Circle Health Services CurrentSince Oct 31, 2024 Accepting new patients
Circle Health Services CurrentSince Oct 31, 2024 Accepting new patients
Signature Health, Inc CurrentSince Aug 24, 2019 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Signature Health Inc CurrentSince Aug 24, 2019 Accepting new patients
The Centers for Families and Children CurrentSince Oct 1, 1987 Accepting new patients
Center for Families & Children CurrentSince Oct 1, 1987 Accepting new patients
Circle Health Services Past Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients

Locations

574 N Leavitt Rd
Amherst, OH 44001
Phone (440) 985-5900

24200 Chagrin Blvd
Beachwood, OH 44122

24200 Chagrin Blvd
Ofc Pl
Beachwood, OH 44122
Phone (216) 283-7690

12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846

3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800

4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355

4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404

5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037

14701 Detroit Ave
Ste 620
Lakewood, OH 44107
Phone (216) 226-5000

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

5955 Ridge Rd
Parma, OH 44129
Phone (440) 888-0300

29133 Health Campus Dr
Westlake, OH 44145
Phone (440) 835-6212

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

Interoperability endpoints

  • Direct secure messaging: evazquez327832@direct.ochin.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1699887943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 HILLCREEK LN",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409629",
            "telephone_number": "216-464-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29133 HEALTH CAMPUS DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455256",
            "telephone_number": "440-835-6212",
            "fax_number": "440-835-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "EDUARDO",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-04-1016-V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308483",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.