MD Mary Jean Wall, NPI 1265405237
Diagnostic Radiology Physician in Cleveland, OH, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1265405237 |
| NPI Entity Type | Individual |
| Provider Name | MD Mary Jean Wall |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1001 Lakeside Ave E Ste 1200, Cleveland, OH, US |
| Provider Mailing Address | 108 W Main St, Po Box 305, Bellevue, OH, US, 448111328 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | 35059303W |
| License State | OH |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0783022 | OH | MEDICAID | 05 |
| P00286495 | OH | RAILROAD MC | 01 |
| 000000339383 | OH | ANTHEM | 01 |
| 1018989380001 | PA | MEDICAID | 05 |
| 1018989380002 | PA | MEDICAID | 05 |
| 1018989380003 | PA | MEDICAID | 05 |
| 3810008142 | WV | MEDICAID | 05 |
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|---|---|---|---|
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LISW Anna Teske Individual |
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DR. D.C. Nabeel M Bourawi Individual |
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PHD, LPC Mohamed O Khalif Individual |
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DR. M.D. Robert F Arrom Individual |
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CNP Lara Wynne Individual |
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NP Heidi Zuber Individual |
442 W High St Ste 3 |
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CEO Geni Gabayre Individual |
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Melinda Zajaczkowski Individual |
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