Individual provider Active NPI

Mazin Hallaj, M.D.

  • Occupational Medicine Physician
  • Oakwood Village, OH
National Provider Identifier
1376778696
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
124411 Issued in OH
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

Updated by the provider on Apr 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117000846 OH Practitioner - Emergency Medicine 8123179942 Reassigns benefits to 1 organization

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
American Current Care of Ohio PA CoGroup PAC ID 0042356073, 14 clinicians

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

LicenseStateTypeSpecialty
124411OHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Ohio PA Co CurrentSince Sep 22, 2014 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

Verify at the official NPI Registry.