| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHEN JOHN BACAK | 1609010875 | 2022-06-26 |
Stephen John Bacak [M] graduated in 2009 and primarily specializes in Obstetrics/gynecology.
Stephen John Bacak is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609010875. Registration indicates Stephen John Bacak is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology: Maternal & Fetal Medicine, ) (Specialist Network, ) (Obstetrics & Gynecology Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians) (Obstetrics & Gynecology, )
| PECOS ID | 8628202660 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Stephen John Bacak DO |
| Practice Office Address | CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND, OH US |
| Practice Office Telephone | 2164446601 |
| Mailing Address | CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE CLEVELAND, OH 441950001 US |
| Business Telephone | 2164446601 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1 Perkins Sq | Akron, OH 443081063 | 3305434500 / 3305434508 |
| Code | Practice | License No State |
|---|---|---|
| 207VM0101X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology: Maternal & Fetal Medicine Specialist Network Obstetrics & Gynecology Maternal & Fetal Medicine Allopathic & Osteopathic Physicians Obstetrics & Gynecology | 34.012000
OH |