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 | 930 |
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 | Anesthesia Associates Pll |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801823182 PECOS PAC ID: 5395648679 Enrollment ID: O20040202000866 |
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 |