| Bradley Vargo, DO | |
|
11255 Woodlake Dr, Kirtland, OH 44094-9556 | |
| (216) 832-9683 | |
| (440) 256-3147 |
| Full Name | Bradley Vargo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 11255 Woodlake Dr, Kirtland, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902807118 | NPI | - | NPPES |
| 000000221087 | Other | OH | UNISON |
| 415050 | Other | OH | WELLCARE MEDICAID |
| 0583328 | Other | OH | BCMH |
| 751022 | Other | OH | BUCKEYE MEDICAID |
| 5693771 | Other | AETNA | |
| 000000521139 | Other | OH | ANTHEM |
| 0825816 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 34004864 (Ohio) | Secondary |
| 207L00000X | Anesthesiology | 34004864 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| Lake Health Beachwood Medical Center | Beachwood, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Vargo, DO 11255 Woodlake Dr, Kirtland, OH 44094-9556 Ph: (216) 832-9683 | Bradley Vargo, DO 11255 Woodlake Dr, Kirtland, OH 44094-9556 Ph: (216) 832-9683 |