MEDICARE: DR. WAEL AL-HALASEH 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
1	207RC0000X	Cardiovascular Disease Physician	25MA07880900	NJ
2	207RC0000X	Cardiovascular Disease Physician	MD28946	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	510-47874	OTHER	AL	AL BCBS

General Provider Information

NPI Number	:	1760645311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAEL AL-HALASEH MD

Provider Business Mailing Address
First Line	:	306 MEDICAL CENTER DR SW
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-3416
Country	:	US
Telephone Number	:	256-845-9255
Fax Number	:	256-845-9349

Provider Business Practice Location Address
First Line	:	306 MEDICAL CENTER DR SW
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-3416
Country	:	US
Telephone Number	:	256-845-9255
Fax Number	:	256-845-9349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	09/11/2013

Similar Medicare Providers

1447642731 — BRITTANY CLEMENTS
Practice Location Address:

306 MEDICAL CENTER DR SW
FORT PAYNE, AL
35968-3416

Practice Phone: 256-845-9255
Practice Fax:

1992378608 — EMILY S JONES
Practice Location Address:

306 MEDICAL CENTER DR SW
FORT PAYNE, AL
35968-3416

Practice Phone: 256-845-9255
Practice Fax:

1184644759 — DR. WILLIAM HOWARD TRUAX II DDS
Practice Location Address:

2041 MCGREGOR BLVD
FORT MYERS, FL
33901-3416

Practice Phone: 239-334-6136
Practice Fax: 239-334-2556

1366464711 — DR. JAMES T HOWELL MD
Practice Location Address:

3416 OLD GREENWOOD RD
FORT SMITH, AR
72903-5462

Practice Phone: 479-452-2077
Practice Fax:

1912182403 — MS. BARBARA H LANTZ LCSW
Practice Location Address:

5544 COGNAC DR
FORT MYERS, FL
33919-3416

Practice Phone: 239-826-3134
Practice Fax: 239-432-9925

1134381643 — WILLIAM HOWARD TRUAX III DMD
Practice Location Address:

2041 MCGREGOR BLVD
FORT MYERS, FL
33901-3416

Practice Phone: 239-334-6136
Practice Fax: 239-334-2556

Directions to “ DR. WAEL AL-HALASEH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.