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MARK EDWARD WAIDE PAC
NPI 1548244353
Physician Assistant - Medical in Streetsboro, OH

Active since December 05, 2005
9150 MARKET SQUARE DR, SUITE 202, STREETSBORO, OH 44241(330) 626-2211(330) 626-2294 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Edward Waide Pac NPPES

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

MARK EDWARD WAIDE PAC (NPI 1548244353) is an individual medical provider in Streetsboro, Ohio, licensed in Ohio (2570) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1548244353
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK EDWARD WAIDECredential: PAC
Location Address9150 MARKET SQUARE DR, SUITE 202Streetsboro, OH 44241-4571
Mailing Address9150 Market Square Dr, Suite 202Streetsboro, OH 44241-4571 · (330) 626-2211 · Fax (330) 626-2294
Phone(330) 626-2211
Fax(330) 626-2294
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateAugust 30, 2012
✔ NPI 1548244353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in OH · 2570✔ Licensed in CT · 1032163
9150 MARKET SQUARE DR, Streetsboro, OH 44241
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Other Identifiers 5

Medicaid0067558OH
Medicare PIN9289122OH
Medicare PINPA28341OH
Medicare PINPA28342OH
Medicare PIN9289121OH

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRISTINA PETRAITIS AUD
Audiologist
9150 MARKET SQUARE DR, SUITE 202
STREETSBORO, OH 44241
Portage County (330) 626-2211
DR. MATTHEW KREMSER D.D.S.
Dentist (General Practice)
9150 MARKET SQUARE DR, SUITE NUMBER 103
STREETSBORO, OH 44241
Portage County (330) 626-9090
DR. HUGH A. O'NEILL MD
Family Medicine
9150 MARKET SQUARE DR, SUITE 201
STREETSBORO, OH 44241
Portage County (330) 626-0508
KATHRYN ELIZABETH BOX
Counselor
9150 MARKET SQUARE DR
STREETSBORO, OH 44241
Portage County (330) 552-7065
DENTAL HEALTH ASSOCIATES OF STREETSBORO
Dentist
9150 MARKET SQUARE DR, SUITE 103
STREETSBORO, OH 44241
Portage County (330) 626-9090

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 Mark Waide's NPI number?

The NPI number for Mark Waide is 1548244353. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Mark Waide located?

Mark Waide practices at 9150 Market Square Dr Suite 202, Streetsboro, OH 44241. The listed phone number is (330) 626-2211.

What is Mark Waide's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mark Waide was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.