Provider Demographics
NPI:1508812777
Name:BILFIELD, LAURENCE H (MD)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:H
Last Name:BILFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 W 25TH ST
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3108
Mailing Address - Country:US
Mailing Address - Phone:216-363-2440
Mailing Address - Fax:216-696-7275
Practice Address - Street 1:1730 W 25TH ST
Practice Address - Street 2:SUITE 1E
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3108
Practice Address - Country:US
Practice Address - Phone:216-363-2440
Practice Address - Fax:216-696-7275
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046176207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0467301Medicaid
A80229Medicare UPIN
OH0506499Medicare PIN
OH0506498Medicare PIN