Provider Demographics
NPI:1912798570
Name:BAERMAN, JAMES VINCENT
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:VINCENT
Last Name:BAERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350-4 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-6906
Mailing Address - Country:US
Mailing Address - Phone:216-798-1476
Mailing Address - Fax:
Practice Address - Street 1:18617 ALEXANDER RD
Practice Address - Street 2:
Practice Address - City:WALTON HILLS
Practice Address - State:OH
Practice Address - Zip Code:44146-5322
Practice Address - Country:US
Practice Address - Phone:513-617-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No253Z00000XAgenciesIn Home Supportive Care