Mark Edward Waide in Streetsboro - Medical
Mark Edward Waide - NPI 1548244353
Mark Edward Waide is a Medical in Streetsboro, Ohio. Mark Edward Waide practices all healthcare services and medical treatments related to Medical. The NPI Number for Mark Edward Waide is 1548244353. The last update date is 2012-08-30.
Mark Edward Waide's current location address is 9150 Market Square Dr, Streetsboro, Ohio. You can contact this provider via phone number 3306262211 and fax number 3306262294. The mailing address for Mark Edward Waide is 9150 Market Square Dr, Streetsboro, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Waide |
|---|---|
| Address | 9150 Market Square Dr, Streetsboro, Ohio |
| Phone Number | 3306262211 |
| Fax Number | 3306262294 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1548244353 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2012-08-30 |
Provider Mailing Address Detail
| Address | 9150 Market Square Dr |
|---|---|
| City | Streetsboro |
| State | Ohio (OH) |
| Post Code | 442414571 |
| Phone Number | 3306262211 |
| Fax Number | 3306262294 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1032163 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67558 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Edward Waide by the Centers for Medicare & Medicaid Services?
The Mark Edward Waide has been issued the NPI (National Provider Identifier) 1548244353. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Edward Waide is physically located?
The Mark Edward Waide is physically situated at the following address: 9150 Market Square Dr, Streetsboro, OH, 442414571.
What is the Mark Edward Waide's specialty and taxonomy code?
The Mark Edward Waide's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548244353 to Mark Edward Waide?
The Mark Edward Waide received its 1548244353 assignment from the Centers for Medicare & Medicaid Services on 2005-12-05.
As of what date were the Mark Edward Waide's details last updated?
The information pertaining to the Mark Edward Waide, including its address, specialty, and other details, was most recently updated on 2012-08-30.
NPI Number: 1952304818
Address: 6605 Nw 74th Ave, Miami, FL
NPI Number: 1063415685
Address: 720 S Ford Street, Lapel, IN