Individual
MICHAEL FREDERICK BAHNTGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-3958
Mailing address
20525 CENTER RIDGE RD, STE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35048477B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000276513
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
01
—
0501231
UNITED HEALTHCARE
—
05
—
0587931
—
OH
01
—
103647
KAISER
—
01
—
11046868
CAQH
—
01
—
130026262
RR MEDICARE INDIVIDUAL
—
01
—
1780634279
GROUPNPI
—
01
—
341783789031
CARESOURCE
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
4326122
AETNA
—
01
—
9273172
GROUP MEDICARE
—
01
—
C78477
SUMMACARE APEX
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
Enumeration date
02/27/2006
Last updated
09/23/2018
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