ROBERT D. BAZLEY (NPI# 1982719514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982719514 |
| Entity Type | Individual |
| Full Name | ROBERT D. BAZLEY |
| Credential | M.D. |
| Practice Address |
3241 Lakeland Hills Blvd Lakeland FL 33805-2266 |
| Mailing Address |
1290 Golfview Ave Attn: Billing Department Bartow FL 33830-6740 |
| Practice Telephone | 8634132620 |
| Mailing Telephone | 8635197900 |
| Mailing Fax Number | 8635197696 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME45747 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 36355 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203990411 | 05 | |
| RAILROAD | 160048858 | 01 | |
| FL | BCBS | 68594 | 01 |
| FL | 000046600 | 05 | |
| BLUE CROSS | 119334 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992789622 | Robert D Bazley | Physical Therapist | 16 Cooper Ave, West Long Branch, NJ 07764-1214 | 2005-12-06 |
| Street Address |
3241 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732541 | Florida Department of Health | Public Health or Welfare | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2005-10-03 |
| 1215373352 | Anjana J Patel | Pharmacist | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2013-05-16 |
| 1700166691 | Joy Lynn Jackson | Internal Medicine | 3241 Lakeland Hills Blvd, Lakeland, FL 33805 | 2011-08-23 |
| 1568767028 | Rosalind M Tyre | Social Worker | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2011-01-14 |
| 1114199510 | Peggy Lee Owen | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2008-03-26 |
| 1720266125 | Isabel A Clayton | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2008-02-07 |
| 1124119631 | Alison M Youngtan | Internal Medicine | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-09-28 |
| 1447225974 | Jill A Hoagland | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-20 |
| 1417921404 | Chung-ho Chen | Dentist | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-15 |
| 1942274469 | Elizabeth A Myers | Registered Nurse | 3241 Lakeland Hills Blvd, Lakeland, FL 33805-2266 | 2006-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322684 | Innovative Gynecology & Obstetrics, Pa | Obstetrics & Gynecology | 1718 Mockingbird Ln, Lakeland, FL 33801-5948 | 2016-08-30 |
| 1134449556 | Virginia Pagani | Obstetrics & Gynecology | 10340 Old Dade City Rd, Lakeland, FL 33810-8048 | 2010-06-08 |
| 1336306372 | Exodus Women's Center, Inc. | Obstetrics & Gynecology | 215 Imperial Blvd Ste B2, Lakeland, FL 33803-4689 | 2008-05-19 |
| 1083637540 | Gregory Alan Damery | Obstetrics & Gynecology | 515 Channing Rd, Lakeland, FL 33805 | 2006-07-25 |
| 1972533594 | Himagiri Ravi | Obstetrics & Gynecology | 1045 E County Road 540a, Lakeland, FL 33813-3735 | 2006-07-03 |
| 1427025204 | Jennifer M Nixon | Obstetrics & Gynecology | 1733 Lakeland Hills Blvd, Lakeland, FL 33805-3016 | 2006-03-01 |
| 1205809639 | Pamela Dawn Schwartz | Obstetrics & Gynecology | 2140 E County Road 540a, Lakeland, FL 33813-3740 | 2006-02-08 |
| 1811968209 | Ezer A Ojeda | Obstetrics & Gynecology | 1129 N Missouri Ave, Lakeland, FL 33805-4411 | 2006-02-01 |
| 1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
| 1790782365 | Natalie Adsuar | Obstetrics & Gynecology | 1739 Laurel Glen Pl, Lakeland, FL 33803-5419 | 2005-06-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.