Kyle L Wagamon in Cleveland - Dermatopathology

Kyle L Wagamon - NPI 1780758003

Kyle L Wagamon is a Dermatopathology in Cleveland, Ohio. Kyle L Wagamon practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Kyle L Wagamon is 1780758003. The last update date is 2014-01-17.

Kyle L Wagamon's current location address is 19301 Cyclone Dr, Cleveland, Ohio. You can contact this provider via phone number 3303934000 and fax number 3303925870. The mailing address for Kyle L Wagamon is 19301 Cyclone Dr, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle L Wagamon
Address 19301 Cyclone Dr, Cleveland, Ohio
Phone Number 3303934000
Fax Number 3303925870
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780758003
Provider Enumeration Date 2006-11-20
Last Updated Date 2014-01-17

Provider Mailing Address Detail

Address 19301 Cyclone Dr
City Cleveland
State Ohio (OH)
Post Code 441351731
Phone Number 3303934000
Fax Number 3303925870

Provider's Primary Taxonomy Detail

Speciality Dermatopathology
Taxonomy 207Nd0900X
Licence No 35083746
Definition:
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7474933 OH AETNA
217451 OH UNISON
P00406585 OH RAILROAD MEDICARE
415051 OH WELLCARE
527821 OH ANTHEM
2754827 OH --
748956 OH BUCKEYE

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FAQs about Kyle L Wagamon

What is the Kyle L Wagamon's unique identification number?

The Kyle L Wagamon has been assigned the NPI (National Provider Identifier) Number 1780758003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Kyle L Wagamon is located?

The Kyle L Wagamon is situated at the following address: 19301 Cyclone Dr, Cleveland, OH, 441351731.

What is Kyle L Wagamon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kyle L Wagamon is Dermatopathology, and the taxonomy classification code that categorizes this area of expertise is 207Nd0900X.

On what date did Kyle L Wagamon receive its 1780758003 assignment from the Centers for Medicare & Medicaid Services?

The Kyle L Wagamon was assigned its 1780758003 on 2006-11-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Kyle L Wagamon most recently updated or revised?

The information pertaining to Kyle L Wagamon, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-17.

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