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Marymount Primary Care Services, Inc

Occupational Medicine Physician in Chagrin Falls, OH · enumerated 2006 · authorized official Peter Walchanowicz, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023089653

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Registry record

Entity type Organization (Type 2)
Legal business name Marymount Primary Care Services, Inc
Practice address 17747 Chillicothe Rd, Suite 100, Chagrin Falls, OH, 44023
Fax (440) 543-2470
Enumeration date Jan 31, 2006
Last updated in NPPES Jul 28, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
2083X0100X Occupational Medicine Physician Allopathic & Osteopathic Physicians Primary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Peter Walchanowicz
Title Practice Manager

Other identifiers

Identifier Type State Issuer
000000028432 Other OH ANTHEM
0139719 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-28. Verify at npiregistry.cms.hhs.gov.
Where is Marymount Primary Care Services, Inc located?
The practice location on file with NPPES is in Chagrin Falls, OH.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-28.