Active NPI 1235518572 Individual Practitioner Male Practitioner

Gary A Waller , LPN

Licensed Practical Nurse • Mayfield Hts, OH

Professional Overview & Biography Verified Profile Summary

Gary Waller, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Mayfield Hts, OH. Practice services are available at 6503 MARSOL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6503 Marsol Rd
Apt 347

Mayfield Hts, OH 441243568

Telephone 2168166160

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Mayfield Hts, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Mayfield Hts, OH (13034 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN.154227-M-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2015

Registered at 6503 MARSOL RD, APT 347, MAYFIELD HTS, OH 441243568 (Tel: 2168166160)

📍

Updated Business Mailing Address May 20, 2015

Registered at 6503 MARSOL RD, APT 347, MAYFIELD HEIGHTS, OH 441243568 (Tel: 2163731459)

👤

Provider Name / Credentials Updated May 20, 2015

Recorded as GARY WALLER, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Licensed Practical Nurse (License #PN.154227-M-IV in OH)

🟢

Initial NPI Registration & Enumeration May 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1235518572

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2015

Last Update: May 20, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6503 Marsol Rd, Apt 347

Mayfield Heights, OH 441243568

Phone: 2163731459

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.