| Mark Edward Waide, PAC | |
|
9150 Market Square Dr, Suite 202, Streetsboro, OH 44241-4571 | |
| (330) 626-2211 | |
| (330) 626-2294 |
| Full Name | Mark Edward Waide |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 9150 Market Square Dr, Streetsboro, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548244353 | NPI | - | NPPES |
| 0067558 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1032163 (Connecticut) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2570 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Edward Waide, PAC 9150 Market Square Dr, Suite 202, Streetsboro, OH 44241-4571 Ph: (330) 626-2211 | Mark Edward Waide, PAC 9150 Market Square Dr, Suite 202, Streetsboro, OH 44241-4571 Ph: (330) 626-2211 |
Charles W Haver, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9480 Rosemont Dr Ste 100, Streetsboro, OH 44241 Phone: 330-626-5566 Fax: 330-626-2402 | |
Mr. James P Mima, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9318 State Route 14, 1st Floor, Streetsboro, OH 44241 Phone: 330-626-5889 Fax: 330-626-5974 |