Organization
MARYMOUNT CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE WALCHANOWICZ (PRACTICE MANAGER)
(440) 543-8855
Entity
Organization
Contact information
Practice address
17747 CHILLICOTHE RD, SUITE 100, CHAGRIN FALLS, OH 44023-4739
(440) 543-8855
Mailing address
17747 CHILLICOTHE RD, SUITE 100, CHAGRIN FALLS, OH 44023-4739
(440) 543-8855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2907439
—
OH
Enumeration date
10/30/2008
Last updated
07/24/2009
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