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NPI Code Detail

MEDICARE: DR. MICHAEL DAVID BAGE MD

MEDICARE: DR. MICHAEL DAVID BAGE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician35070967BOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457352668
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DAVID BAGE MD
Provider Business Mailing Address
First Line : 1900 23RD ST STE 1000
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44223-1404
Country : US
Telephone Number : 330-971-7989
Fax Number : 330-926-5865
Provider Business Practice Location Address
First Line : 1900 23RD ST STE 1000
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44223-1404
Country : US
Telephone Number : 330-971-7989
Fax Number : 330-926-5865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 11/15/2017

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Directions to “ DR. MICHAEL DAVID BAGE MD” Practice Location

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