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: July 19, 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
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

Other Identifiers 3

Medicaid0390090OH
Medicare UPINA78028
Medicare ID-Type UnspecifiedWA4177841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437265774, enumerated as an "individual" on August 21, 2006.

The provider is located at 8300 TYLER BLVD. MENTOR, OH 44060 and the phone number is (440) 205-1529.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.