MATTHEW STEVENSON WAYNE MD NPI 1508845207

NPI Information

NPI: 1508845207
Provider Name: MATTHEW STEVENSON WAYNE, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
12200 FAIRHILL RD
CLEVELAND, OH
ZIP 44120
Phone: (216) 844-6300
Get Directions

Matthew Stevenson Wayne, MD is a geriatric medicine family medicine in Cleveland, OH. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Matthew Stevenson Wayne, MD NPI is 1508845207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12200 FAIRHILL RD
CLEVELAND, OH
ZIP 44120-058
Phone: (216) 844-6300

The NPI 1508845207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 12/5/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		35-069734	OHIO	No
2	207QG0300X	Family Medicine	Geriatric Medicine	35-069734	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G79988	MEDICARE UPIN	OHIO
2	5496574	OTHER	OHIO	AETNA
3	WA0858455	MEDICARE PIN	OHIO
4	P00402008	OTHER	OHIO	MEDICARE RAILROAD
5	751025	OTHER	OHIO	BUCKEYE
6	000000524532	OTHER	OHIO	ANTHEM
7	414697	OTHER	OHIO	WELLCARE
8	2073672	MEDICAID	OHIO
9	000000221142	OTHER	OHIO	UNISON
10	2063672	MEDICAID	OHIO

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

NPI Synchronization or Removal

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