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 |
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Address | 19301 Cyclone Dr, Cleveland, Ohio |
Phone Number | 3303934000 |
Fax Number | 3303925870 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1780758003 |
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Provider Enumeration Date | 2006-11-20 |
Last Updated Date | 2014-01-17 |
Provider Mailing Address Detail
Address | 19301 Cyclone Dr |
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City | Cleveland |
State | Ohio (OH) |
Post Code | 441351731 |
Phone Number | 3303934000 |
Fax Number | 3303925870 |
Provider's Primary Taxonomy Detail
Speciality | Dermatopathology |
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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 |
Post Comment/ Review Below
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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