Active NPI
Priscilla Waldheger, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35063273
- Practice address
- 630 E River St
Elyria, OH 44035-5902 - Phone
- (440) 329-7656
- NPI assigned
- May 4, 2006
- Last updated
- Oct 15, 2008
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35063273 | OH | Primary |
Addresses
Primary practice location
630 E River St
Elyria, OH 44035-5902
Mailing address
630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0883825 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Northeastern Ohio University College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.6 of 100
- Quality
- 77.19
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35063273 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Pathology Associates, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211
195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Elyria, OH
- NPI 1326096181
-
- Clinical Pathology/Laboratory Medicine Physician
- Elyria, OH
- NPI 1518391754
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Allen Hospital
- Critical Access Hospital
- Oberlin, OH
- NPI 1801825997
-
dba Mercy Regional Medical Center Laboratory
- Clinical Medical Laboratory
- Lorain, OH
- NPI 1164971800
Hospital
-
dba Mercy Health Lorain Hospital
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1285682021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E RIVER ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355902",
"telephone_number": "440-329-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E RIVER ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355902",
"telephone_number": "440-329-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDHEGER",
"first_name": "PRISCILLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35063273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0883825",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.