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1932146800

NPI Code Detail

MEDICARE: BARBARA BANGERT MD

MEDICARE: BARBARA BANGERT 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
1	2085N0700X	Neuroradiology Physician	35062792	OH
2	2085R0204X	Vascular & Interventional Radiology Physician	35062792	OH
3	207U00000X	Nuclear Medicine Physician	35062792	OH
4	207UN0903X	In Vivo & In Vitro Nuclear Medicine Physician	35062792	OH
5	207UN0901X	Nuclear Cardiology Physician	35062792	OH
6	207UN0902X	Nuclear Imaging & Therapy Physician	35062792	OH
7	2085B0100X	Body Imaging Physician	35062792	OH
8	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician	35062792	OH
9	2085R0202X	Diagnostic Radiology Physician	35062792	OH
10	2085U0001X	Diagnostic Ultrasound Physician	35062792	OH
11	2085H0002X	Hospice and Palliative Medicine (Radiology) Physician	35062792	OH
12	2085N0904X	Nuclear Radiology Physician	35062792	OH
13	2085P0229X	Pediatric Radiology Physician	35062792	OH
14	2085R0001X	Radiation Oncology Physician	35062792	OH
15	2085R0203X	Therapeutic Radiology Physician	35062792	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00358777	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5635015	OTHER	OH	AETNA
3	0304914	OTHER	OH	BCMH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000000204801	OTHER	OH	UNISON
6	731478	OTHER	OH	BUCKEYE
7	000000503568	OTHER	OH	ANTHEM
8	363337	OTHER	OH	WELLCARE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932146800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA BANGERT MD

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:	3RD FLOOR
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1736
Country	:	US
Telephone Number	:	216-844-1700
Fax Number	:	216-286-6341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/27/2010

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Directions to “ BARBARA BANGERT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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