MATTHEW STEVENSON WAYNE (NPI# 1508845207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508845207 |
| Entity Type | Individual |
| Full Name | MATTHEW STEVENSON WAYNE |
| Credential | MD |
| Practice Address |
12200 Fairhill Rd Cleveland OH 44120-1058 |
| Mailing Address |
21076 Byron Rd Shaker Hts OH 44122-2915 |
| Practice Telephone | 2168446300 |
| Mailing Telephone | 2168446338 |
| Mailing Fax Number | 2168446338 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
35-069734 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35-069734 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2073672 | 05 | |
| OH | WELLCARE | 414697 | 01 |
| OH | AETNA | 5496574 | 01 |
| OH | ANTHEM | 000000524532 | 01 |
| OH | BUCKEYE | 751025 | 01 |
| OH | MEDICARE RAILROAD | P00402008 | 01 |
| OH | 2063672 | 05 | |
| OH | UNISON | 000000221142 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497280044 | Matthew Wayne | Physical Therapy Assistant | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070 | 2017-04-20 |
| Street Address |
12200 FAIRHILL RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192310 | Ascend Counseling & Training Solutions | Community/Behavioral Health | 12200 Fairhill Rd, Cleveland, OH 44120-1058 | 2020-10-24 |
| 1255954582 | Fonda D Mcclain | Community Health Worker | 12200 Fairhill Rd, Cleveland, OH 44120 | 2020-05-21 |
| 1255790721 | Family Wellness Network Cle, Inc. | Health Educator | 12200 Fairhill Rd, Cleveland, OH 44120-1058 | 2016-02-12 |
| 1013282896 | The Majastan Group | In Home Supportive Care | 12200 Fairhill Rd, Suite B203, Cleveland, OH 44120-1058 | 2012-03-13 |
| 1851692453 | Psalms of Love Home Health Agency, LLC | Home Health | 12200 Fairhill Rd, Suite E 185, Cleveland, OH 44120-1058 | 2010-11-12 |
| 1629387956 | Norah's Adult Daycare & Transportation | Clinic/Center | 12200 Fairhill Rd, Cleveland, OH 44120-1058 | 2010-10-05 |
| 1053625350 | All for One Agency | Home Health | 12200 Fairhill Rd, Cleveland, OH 44120-1058 | 2010-07-29 |
| 1902123706 | Carmen's Adult Daycare, Inc | Clinic/Center | 12200 Fairhill Rd, Cleveland, OH 44120-1058 | 2010-05-03 |
| 1720317712 | Wanda Kay Mcginnis | Speech-Language Pathologist | 12200 Fairhill Rd, Suite C248, Cleveland, OH 44120-1058 | 2009-12-22 |
| 1568619393 | Gordon's Adult Daycare, Inc | Clinic/Center | 12200 Fairhill Rd, Cleveland, OH 44120-1058 | 2008-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891096061 | At Home Primary Care Inc | Family Medicine | 4662 E Circle Dr Nw, Cleveland, TN 37312-4101 | 2010-11-04 |
| 1235585985 | Calvin Peacock Warner | Family Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-05-12 |
| 1932581493 | Lorella Luezas Shamakian | Family Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2015-06-22 |
| 1174897888 | Physician Onsite, Inc | Family Medicine | 3570 Keith St Nw, Cleveland, TN 37312-4309 | 2012-02-27 |
| 1174825244 | Robert B Elson | Family Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2010-11-23 |
| 1467781724 | University Hospitals Medical Group, Inc | Family Medicine | 11100 Euclid Ave, 1800, Cleveland, OH 44106-1716 | 2009-12-16 |
| 1134119829 | Outreach Professional Services Inc | Family Medicine | 2475 E 22nd St, Cleveland, OH 44115-3221 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645779 | Francis Dapaah | Family Medicine | 1264 Brainard Rd, Lyndhurst, OH 44124-1404 | 2019-11-27 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1780009928 | Js Aesthetics | Family Medicine | 2400 Passage Key Trl, Xenia, OH 45385-9212 | 2014-02-25 |
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1902152366 | Mason Family Health Center LLC | Family Medicine | 7808 Derbyshire Ct, Liberty Township, OH 45044-9049 | 2012-08-02 |
| 1548539976 | Eva Ray Lefton | Family Medicine | 16 Deerfield Ln, Beachwood, OH 44122-7502 | 2011-12-13 |
| 1508189499 | Senior Care Physicians, Inc. | Family Medicine | 1745 Indian Wood Cir Ste 252, Maumee, OH 43537-4168 | 2010-03-05 |
| 1639404171 | Midwest Dysphagia Consultants, LLC | Family Medicine | 5710 Wooster Pike Ste 102, Cincinnati, OH 45227-4520 | 2009-10-15 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1235311358 | Licking Memorial Professional Corp. | Family Medicine | 17 Forry St, Newark, OH 43055-4004 | 2007-11-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MATTHEW STEVENSON WAYNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.