| James Bazzoli, MD | |
|
1040 Delaware Ave, Marion, OH 43302-6416 | |
| (740) 383-8080 | |
| (740) 383-8084 |
| Full Name | James Bazzoli |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1040 Delaware Ave, Marion, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043278617 | NPI | - | NPPES |
| 160017770 | Other | TRAVELERS MEDICARE | |
| 2873884400 | Other | OH | BWC |
| 311098079 | Other | TAXID E | |
| 311098079 | Other | TAX ID | |
| 000000118145 | Other | OH | ANTHEM |
| 353077 | Other | SUBMITTER NO | |
| 0308161 | Medicaid | OH | |
| 0700040 | Other | UHC | |
| 311098079060 | Other | CIGNA | |
| 646799 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35039399B (Ohio) | Primary |
| Entity Name | Marion Area Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
| Mailing Address | Practice Location Address |
|---|---|
| James Bazzoli, MD L-3549, Columbus, OH 43260-0001 Ph: (740) 383-7927 | James Bazzoli, MD 1040 Delaware Ave, Marion, OH 43302-6416 Ph: (740) 383-8080 |
Dr. Jaybalan R. Moodley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 960 S Prospect St, Marion, OH 43302 Phone: 740-383-2776 | |
Joseph J Rizzo, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1040 Delaware Avenue, Marion, OH 43301 Phone: 740-383-8080 Fax: 740-383-8084 | |
David William Foulk, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 960 S Prospect St, Marion, OH 43302 Phone: 740-383-2776 Fax: 740-383-2978 | |
Dr. Bradley David Campbell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-8080 Fax: 740-383-8084 |