Individual
JAY K WASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7494
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
35-060381
OH
207ZC0006X
Clinical Pathology Physician
35-060381
OH
207ZC0500X
Cytopathology Physician
35-060381
OH
207ZD0900X
Dermatopathology (Pathology) Physician
35-060381
OH
207ZF0201X
Forensic Pathology Physician
35-060381
OH
207ZH0000X
Hematology (Pathology) Physician
35-060381
OH
207ZI0100X
Immunopathology Physician
35-060381
OH
207ZM0300X
Medical Microbiology Physician
35-060381
OH
207ZN0500X
Neuropathology Physician
35-060381
OH
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
35-060381
OH
207ZP0101X
Anatomic Pathology Physician
Primary
35-060381
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35-060381
OH
207ZP0104X
Chemical Pathology Physician
35-060381
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
35-060381
OH
207ZP0213X
Pediatric Pathology Physician
35-060381
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174706
ANTHEM
OH
01
—
000000224432
UNISON
OH
01
—
000000528783
ANTHEM
OH
01
—
0127464
BCMH
OH
01
—
220029504
RAILROAD MEDICARE
OH
05
—
2204939
—
OH
01
—
364113
WELLCARE
OH
01
—
4596686
AETNA
OH
01
—
727209
BUCKEYE
OH
01
—
P00420614
RAILROAD MEDICARE
OH
Enumeration date
07/08/2006
Last updated
08/20/2010
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