Organization Active NPI

Aziza Wahby DO

  • Dermatology Physician
  • Chagrin Falls, OH
National Provider Identifier
1679157986
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
AZIZA WAHBY DO
Practice address
7185 Chagrin Rd
Chagrin Falls, OH 44023-1101
Phone
(216) 284-0942
Fax
(681) 245-6061
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Aziza Wahby, DONPI 1033474598
Title
Owner
Phone
(440) 999-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7185 Chagrin Rd
Chagrin Falls, OH 44023-1101

Mailing address

7185 Chagrin Rd
Chagrin Falls, OH 44023-1101
Phone (216) 284-0942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210831002440 OH Part B Supplier - Clinic/Group Practice 3577969542 Receives reassigned benefits from 1 practitioner
Practice locations: Chagrin Falls, OH

National Provider Directory

National Provider Directory

Locations

7185 Chagrin Rd
Ste B
Chagrin Falls, OH 44023

7185 Chagrin Rd
Chagrin Falls, OH 44023
Phone (440) 999-3035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1679157986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 CHAGRIN RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231101",
            "telephone_number": "216-284-0942",
            "fax_number": "681-245-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 CHAGRIN RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231101",
            "telephone_number": "216-284-0942",
            "fax_number": "681-245-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIZA WAHBY DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "WAHBY",
        "authorized_official_first_name": "AZIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-999-3035",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.