Stephanie Bak

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12395 McCracken Rd Ste H
Garfield Heights, OH 44125-2946

Phone

(216) 587-6727

Fax

(216) 587-8347

NPI assigned

Jul 23, 2019

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1861045460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST STE 150",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563336",
            "telephone_number": "330-722-1069",
            "fax_number": "330-764-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD STE H",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252946",
            "telephone_number": "216-587-6727",
            "fax_number": "216-587-8347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Washington St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442563336",
            "country_code": "US",
            "telephone_number": "330-722-1069",
            "fax_number": "330-764-9712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAK",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahad Azawi
• Shaqwon Badley, QMHS, CMS
• Maimuna Bah
• Sarah Bahati
• Shanice Bailey
• Stacy R Baker
• Carolyn Balogh
• Daniel Vincent Bank
• Norma Banks
• Simone D Banks

• Case Manager/Care Coordinator in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.