Mylynda Casundra Waldrop, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L6704 Issued in TX

Practice address

2400 Cedar Bend Dr
Austin, TX 78758-5378

Phone

(512) 901-4031

Fax

(512) 901-3937

NPI assigned

Dec 27, 2005

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mynda Casundra Waldrop Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mylynda.waldrop@hca8.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1205813730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4031",
            "fax_number": "512-901-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4031",
            "fax_number": "512-901-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "MYLYNDA",
        "middle_name": "CASUNDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159202402",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MYLYNDA.WALDROP@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Cedar Bend Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787585378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MYNDA",
            "last_name": "WALDROP",
            "middle_name": "CASUNDRA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phoenix Waldon
• Waldorf Dental, PLLC
• Natassia Martins Waldorf, DMD
• James Waldron, M.D.
• Lucia Beth Waldrop, NURSE PRACTITIONER
• Ann Wales
• Walgreen Co (Walgreens #06649)
• Walgreen Co (Walgreens #01970)
• Walgreen Co (Walgreens #04836)
• Walgreen Co (Walgreens #10615)

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.