Basil S Waldbaum in Mentor - Family Medicine
Basil S Waldbaum - NPI 1437265774
Basil S Waldbaum is a Family Medicine in Mentor, Ohio. Basil S Waldbaum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Basil S Waldbaum is 1437265774. The last update date is 2007-07-08.
Basil S Waldbaum's current location address is 8300 Tyler Blvd., Mentor, Ohio. You can contact this provider via phone number 4402051529 and fax number 4402051529. The mailing address for Basil S Waldbaum is 8300 Tyler Blvd., Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Basil S Waldbaum |
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Address | 8300 Tyler Blvd., Mentor, Ohio |
Phone Number | 4402051529 |
Fax Number | 4402051529 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1437265774 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8300 Tyler Blvd. |
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City | Mentor |
State | Ohio (OH) |
Post Code | 440604328 |
Phone Number | 4402051529 |
Fax Number | 4402051529 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | AW3083893 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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390090 | OH | -- |
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What is the unique 10-digit identification code assigned to Basil S Waldbaum by the Centers for Medicare & Medicaid Services?
The Basil S Waldbaum has been issued the NPI (National Provider Identifier) 1437265774, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Basil S Waldbaum's area of specialization and corresponding taxonomy classification?
The Basil S Waldbaum's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Basil S Waldbaum receive its 1437265774?
The Basil S Waldbaum was issued its 1437265774 on 2006-08-21, which is the date when the organization was assigned this unique identifier.
On what date did the Basil S Waldbaum receive its 1437265774 assignment from the Centers for Medicare & Medicaid Services?
The Basil S Waldbaum was assigned its 1437265774 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details related to Basil S Waldbaum most recently updated or revised?
The information pertaining to Basil S Waldbaum, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.