Active NPI
Sarah Shires Waldron, M.D.
- Internal Medicine Physician
- Riverview, FL
National Provider Identifier
1043215262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0056814
- Practice address
- 13403 Boyette Rd
Riverview, FL 33569-8742 - Phone
- (813) 654-1775
- Fax
- (813) 651-9082
- NPI assigned
- Jun 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0056814 | FL | Primary |
Addresses
Primary practice location
13403 Boyette Rd
Riverview, FL 33569-8742
Mailing address
13403 Boyette Rd
Riverview, FL 33569-8742
Phone (813) 654-1775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056814 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelink Healthcare Institute Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1043215262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13403 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335698742",
"telephone_number": "813-654-1775",
"fax_number": "813-651-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13403 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335698742",
"telephone_number": "813-654-1775",
"fax_number": "813-651-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRES WALDRON",
"first_name": "SARAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0056814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.