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MARY WADIKA DO NPI 1982646576


NPI Information

NPI: 1982646576
Provider Name: MARY WADIKA, DO
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4750 HEMPSTEAD STATION DR
KETTERING, OH
ZIP 45429
Phone: (800) 875-0136
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Mary Wadika, DO is an emergency medicine in Kettering, OH with 41 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Mary Wadika, DO NPI is 1982646576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1983

The provider's business location address is:

4750 HEMPSTEAD STATION DR
KETTERING, OH
ZIP 45429-164
Phone: (800) 875-0136
Fax: (937) 619-4150

The NPI 1982646576 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 6/11/2006 and was last updated on 3/21/2013.


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
1207P00000XEmergency Medicine34003727OHIOYes

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
1341407259037OTHERMEDICAL MUTUAL
2930068048OTHERRR MEDICARE
3E42051MEDICARE UPIN
4341407259OTHERNATIONWIDE
5341407259OTHERCIGNA
6WA7250981OTHERTRICARE
7000000026809OTHERANTHEM
887726OTHERUHC
90569988MEDICAIDOHIO
10WA7250981MEDICARE ID-TYPE UNSPECIFIED
117755544OTHERAETNA

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: 5/5/2024

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