JUSTIN BAUZON
NPI 1639819097
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Justin Bauzon's NPI number?

The NPI number for Justin Bauzon is 1639819097. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Justin Bauzon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Bauzon was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2022PECOS Enrolled

9500 EUCLID AVE # NA-23, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Justin Bauzon NPPES

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

JUSTIN BAUZON (NPI 1639819097) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639819097

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN BAUZON

Location Address9500 EUCLID AVE # NA-23Cleveland, OH 44195-0001

Mailing Address9500 Euclid Ave # Na-23Cleveland, OH 44195-0001 · (216) 444-2200

Phone(216) 444-2200

Sole ProprietorYes

Enumeration DateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1639819097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9500 EUCLID AVE # NA-23, Cleveland, OH 44195

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Secondary Practice Locations 3

Location 114601 Detroit AveLakewood, OH 44107-4205 · Phone (216) 237-5500

Location 218101 Lorain AveCleveland, OH 44111-5612 · Phone (216) 476-7000

Location 320000 Harvard AveWarrensville Heights, OH 44122-6805 · Phone (216) 491-6000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Bauzon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. MARY K ALLEN-PROCTOR MD

Pathology (Anatomic Pathology & Clinical Pathology)