Individual provider Active NPI

Sara Marie Bohac, M.D.

  • Pediatrics Physician
  • Chesterland, OH
National Provider Identifier
1891015806
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.121347 Issued in OH
Practice address
8254 Mayfield Rd
#4
Chesterland, OH 44026-2593
Phone
(440) 729-0100
NPI assigned
Jun 2, 2010
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.121347 OH Primary

Addresses

Primary practice location

8254 Mayfield Rd
#4
Chesterland, OH 44026-2593

Mailing address

8254 Mayfield Rd
#4
Chesterland, OH 44026-2593
Phone (440) 729-0100

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
I20130910000611 OH Practitioner - Pediatric Medicine 9032353297 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 20, 2013 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

8254 Mayfield Rd
Ste 4
Chesterland, OH 44026
Phone (440) 729-0100

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: sbohac245167@direct.ccf.org

Organizations & group practices 3

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1891015806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 MAYFIELD RD",
            "address_2": "#4",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262593",
            "telephone_number": "440-729-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 MAYFIELD RD",
            "address_2": "#4",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262593",
            "telephone_number": "440-729-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAC",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.121347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterland, OH

Sources for this page

Verify at the official NPI Registry.