Active NPI
Mazin Hallaj, M.D.
- Occupational Medicine Physician
- Oakwood Village, OH
National Provider Identifier
1376778696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 124411
- Practice address
- 7730 First PL
Suite D
Oakwood Village, OH 44146-6719 - Phone
- (440) 735-0438
- Fax
- (440) 735-0484
- NPI assigned
- May 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101245226 | VA | |
| Occupational Medicine Physician | 2083X0100X | 0101245226 | VA | |
| Occupational Medicine Physician | 2083X0100X | 124411 | OH | Primary |
Addresses
Primary practice location
7730 First PL
Suite D
Oakwood Village, OH 44146-6719
Mailing address
7730 First PL
Suite D
Oakwood Village, OH 44146-6719
Phone (440) 735-0438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7730 1St PL
Suite D
Oakwood Village, OH 44146-6720
Phone (440) 735-0438
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124411 | OH | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Ohio PA Co | Current | Accepting new patients |
Locations
7730 First Pl
Ste D
Oakwood Vlg, OH 44146
Phone (440) 735-0438
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1376778696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7730 FIRST PL",
"address_2": "SUITE D",
"city": "OAKWOOD VILLAGE",
"state": "OH",
"postal_code": "441466719",
"telephone_number": "440-735-0438",
"fax_number": "440-735-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7730 FIRST PL",
"address_2": "SUITE D",
"city": "OAKWOOD VILLAGE",
"state": "OH",
"postal_code": "441466719",
"telephone_number": "440-735-0438",
"fax_number": "440-735-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAJ",
"first_name": "MAZIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-17",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101245226",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "VA",
"license": "0101245226",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OH",
"license": "124411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakwood Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.