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MARYMOUNT PRIMARY CARE SERVICES INC NPI 1326265000


NPI Information

NPI: 1326265000
Provider Name: MARYMOUNT PRIMARY CARE SERVICES, INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4400 ROCKSIDE RD
SUITE 2100
INDEPENDENCE, OH
ZIP 44131
Phone: (216) 573-1300
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MARYMOUNT PRIMARY CARE SERVICES, INC is an internal medicine in Independence, 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. MARYMOUNT PRIMARY CARE SERVICES, INC NPI is 1326265000. The provider is registered as an organization entity type.

The provider's business location address is:

4400 ROCKSIDE RD
SUITE 2100
INDEPENDENCE, OH
ZIP 44131-109
Phone: (216) 573-1300
Fax: (216) 503-5005

The provider's authorized official is Peter P Walchanowicz .
The authorized official title is Practice Manager and has the following contact phone number (440) 543-8855.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 5/27/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207R00000XInternal MedicineYes

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
1CB8190MEDICARE PINOHIO
2000000564073OTHEROHIOANTHEM
39301037MEDICARE PINOHIO
42698559MEDICAIDOHIO
51280450002MEDICARE NSCOHIO

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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