Individual
MARK EDWARD WAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9150 MARKET SQUARE DR, SUITE 202, STREETSBORO, OH 44241-4571
(330) 626-2211
(330) 626-2294
Mailing address
9150 MARKET SQUARE DR, SUITE 202, STREETSBORO, OH 44241-4571
(330) 626-2211
(330) 626-2294
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1032163
CT
363AM0700X
Medical Physician Assistant
Primary
2570
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067558
—
OH
Enumeration date
12/05/2005
Last updated
08/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us