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NPI Code Detail

MEDICARE: DONALD L WAYNE MD

MEDICARE: DONALD L WAYNE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician35.051493OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154320828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD L WAYNE MD
Provider Business Mailing Address
First Line : PO BOX 636256
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-245-3600
Fax Number : 513-245-3672
Provider Business Practice Location Address
First Line : 3590 LUCILLE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2674
Country : US
Telephone Number : 513-475-8521
Fax Number : 513-458-1982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 12/05/2017

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