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WAYNE INTERNAL MEDICINE NPI 1316126576


NPI Information

NPI: 1316126576
Provider Name: WAYNE INTERNAL MEDICINE
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
128 EAST MILLTOWN ROAD
SUITE 101
WOOSTER, OH
ZIP 44691
Phone: (330) 262-1700
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WAYNE INTERNAL MEDICINE is an internal medicine in Wooster, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WAYNE INTERNAL MEDICINE NPI is 1316126576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

128 EAST MILLTOWN ROAD
SUITE 101
WOOSTER, OH
ZIP 44691-109
Phone: (330) 262-1700
Fax: (330) 345-8980

The provider's authorized official is Osama Mitri .
The authorized official title is President and has the following contact phone number (330) 262-1700.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 11/3/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine35077131OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H09351MEDICARE UPINOHIO
2000000279626OTHEROHIOANTHEM
3WA9334001MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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