Active NPI
Richard M Waldman, MD
- Pediatrics Physician
- Whiteville, NC
National Provider Identifier
1255421996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39134
- Practice address
- 823 Jefferson St
Whiteville, NC 28472 - Phone
- (910) 642-6121
- Fax
- (910) 642-8457
- NPI assigned
- Oct 13, 2006
- Last updated
- Dec 12, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 39134 | NC | Primary |
Addresses
Primary practice location
823 Jefferson St
Whiteville, NC 28472
Mailing address
PO Box 1528
Whiteville, NC 28472-1528
Phone (910) 642-6121
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N39134 | Other | NC | SC MCD DR# |
| 8524B | Other | NC | BCNC DR # |
| 898524B | Medicaid | NC | |
| CD8805 | Other | NC | RR MCR DR # |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39134 | NC | MD | Pediatrics Physician |
Interoperability endpoints
- richardwaldman@wma.allscriptsdirect.net
- rwaldman@crhn.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1255421996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1528",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284721528",
"telephone_number": "910-642-6121",
"fax_number": "910-642-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 JEFFERSON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "28472",
"telephone_number": "910-642-6121",
"fax_number": "910-642-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "39134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MCD DR#",
"identifier": "N39134",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCNC DR #",
"identifier": "8524B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "898524B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR DR #",
"identifier": "CD8805",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
- Waccamaw Compounding Pharmacy
- Waccamaw Primary Care Inc
- Waccamaw Ultrasound & Diagnostics, Inc.
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1268)
- Wal-Mart Stores East, LP (Vision Center 30-1268)
- Walgreen Co (Walgreens #09898)
- Walgreen Co (Rite Aid)
- Walters Surgical Assoc PA
- Abigale Louise Walters, PA
- Ronald Martin Walters, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.