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BASIL S WALDBAUM MD
NPI 1437265774
Family Medicine in Mentor, OH

Active since August 21, 2006
8300 TYLER BLVD., MENTOR, OH 44060(440) 205-1529(440) 205-1529 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Basil S Waldbaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASIL S WALDBAUM MD (NPI 1437265774) is an individual family medicine provider in Mentor, Ohio, licensed in Ohio (AW3083893) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1437265774
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBASIL S WALDBAUMCredential: MD
Location Address8300 TYLER BLVD.Mentor, OH 44060-4328
Mailing Address8300 Tyler Blvd.Mentor, OH 44060-4328 · (440) 205-1529 · Fax (440) 205-1529
Phone(440) 205-1529
Fax(440) 205-1529
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437265774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · AW3083893
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8300 TYLER BLVD., Mentor, OH 44060
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Other Identifiers 3

Medicaid0390090OH
Medicare UPINA78028
Medicare ID-Type UnspecifiedWA4177841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basil Waldbaum's NPI number?

The NPI number for Basil Waldbaum is 1437265774. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Basil Waldbaum located?

Basil Waldbaum practices at 8300 Tyler Blvd., Mentor, OH 44060. The listed phone number is (440) 205-1529.

What is Basil Waldbaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Basil Waldbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.