Provider Demographics
NPI:1235121211
Name:NEMER, WALEED FAWZI (MD)
Entity Type:Individual
Prefix:DR
First Name:WALEED
Middle Name:FAWZI
Last Name:NEMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 E WATERLOO RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3928
Mailing Address - Country:US
Mailing Address - Phone:330-773-4500
Mailing Address - Fax:330-773-4515
Practice Address - Street 1:908 E WATERLOO RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3928
Practice Address - Country:US
Practice Address - Phone:330-773-4500
Practice Address - Fax:330-773-4515
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-05-3122-N207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0623472Medicaid
OH3078280Medicaid
OH0583821Medicare PIN
OH110022100Medicare PIN
OHA16462Medicare UPIN