ROBERT A BAZYLAK, M.D.
NPI 1306382270
Family Medicine in Conneaut Lake, PA

Active since January 16, 2017
12387 CONNEAUT LAKE RD, CONNEAUT LAKE, PA 16316(814) 382-0221(814) 382-0231 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert A Bazylak, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT A BAZYLAK, M.D. (NPI 1306382270) is a healthcare organization registered as a family medicine in Conneaut Lake, Pennsylvania and active in the NPI registry since January 2017. The organization lists Christian Miles, Vice President, Physician Services, as its authorized official.

NPPES Registry Identity

NPI1306382270
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERT A BAZYLAK, M.D.
Location Address12387 CONNEAUT LAKE RDConneaut Lake, PA 16316-4203
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 382-0221 · Fax (814) 382-0231
Fax(814) 382-0231
Organization SubpartYesParent: French Creek Internal Medicine
Authorized OfficialChristian MilesVice President, Physician Services · (814) 333-5267
Enumeration DateJanuary 16, 2017
NPI 1306382270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD014601E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12387 CONNEAUT LAKE RD, Conneaut Lake, PA 16316

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
12387 CONNEAUT LAKE RD
CONNEAUT LAKE, PA 16316
Physician Assistant
12387 CONNEAUT LAKE RD
CONNEAUT LAKE, PA 16316
Physician Assistant (Medical)
12387 CONNEAUT LAKE RD
CONNEAUT LAKE, PA 16316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert A Bazylak, M.D.'s NPI number?

The NPI number for Robert A Bazylak, M.D. is 1306382270. It was assigned to this organization in the NPPES registry on January 16, 2017.

Where is Robert A Bazylak, M.D. located?

Robert A Bazylak, M.D. is located at 12387 Conneaut Lake Rd, Conneaut Lake, PA 16316. The listed phone number is (814) 382-0221.

What is Robert A Bazylak, M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Robert A Bazylak, M.D. was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.