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Deactivated NPI 1972715464 Deactivated / Inactive NPI Male Practitioner

Dr. Edward P Bak , DPM

Podiatrist • Boardman, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Bak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2007
NPI Deactivation Date January 19, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Bak, DPM was a registered Podiatrist practicing in Boardman, OH. Throughout an active medical career spanning 15 years, Dr. Bak provided care at the practice location at 7724 SILVER FOX DRIVE until profile deactivation on 2022-01-19.

Practice Location & Contact Primary Location

Practice Address

7724 Silver Fox Drive

Boardman, OH 445125301

Telephone 3307268455

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.7 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Boardman, OH (595 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36. 001277

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 19, 2022

Record deactivated on January 19, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7724 SILVER FOX DRIVE, BOARDMAN, OH 445125301 (Tel: 3307268455)

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Updated Business Mailing Address July 08, 2007

Registered at 7724 SILVER FOX DRIVE, BOARDMAN, OH 445125301 (Tel: 3307268455)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD BAK, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Podiatrist (License #36. 001277 in OH)

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Initial NPI Registration & Enumeration May 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972715464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2007
Last Update: July 08, 2007
Deactivation Date: January 19, 2022

Mailing Address

7724 Silver Fox Drive

Boardman, OH 445125301

Phone: 3307268455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.