| Basil S Waldbaum, MD | |
|
8300 Tyler Blvd., Mentor, OH 44060-4328 | |
| (440) 205-1529 | |
| (440) 205-1529 |
| Full Name | Basil S Waldbaum |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8300 Tyler Blvd., Mentor, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437265774 | NPI | - | NPPES |
| 0390090 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AW3083893 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Basil S Waldbaum, MD 8300 Tyler Blvd., Mentor, OH 44060-4328 Ph: (440) 205-1529 | Basil S Waldbaum, MD 8300 Tyler Blvd., Mentor, OH 44060-4328 Ph: (440) 205-1529 |
Mark K. Komar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9500 Mentor Ave, Suite 100, Mentor, OH 44060 Phone: 440-352-4880 Fax: 440-352-3629 | |
Marilee Gallagher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 100, Mentor, OH 44060 Phone: 440-974-4411 Fax: 440-974-4173 | |
Annette Amelia Ciotti, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8300 Tyler Blvd, #300, Mentor, OH 44060 Phone: 440-205-1529 Fax: 440-205-0840 | |
Marc J. Mcnaughton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9500 Mentor Ave, Suite 100, Mentor, OH 44060 Phone: 440-350-4880 Fax: 440-352-3629 | |
Marren J Weber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 Phone: 440-352-4880 Fax: 440-352-3629 | |
Lovette Phillips, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7350 Industrial Park Blvd, Mentor, OH 44060 Phone: 216-732-9480 Fax: 440-942-8431 | |
John Michael Allen, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 Phone: 440-898-1021 |