Individual provider Active NPI

Priscilla Waldheger, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Elyria, OH
National Provider Identifier
1285682021
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35063273 Issued in OH
Practice address
630 E River St
Elyria, OH 44035-5902
Phone
(440) 329-7656
NPI assigned
May 4, 2006
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0883825MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000609 OH Practitioner - Pathology 5294621231 Reassigns benefits to 1 organization

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
Regional Pathology Associates, Inc.Group PAC ID 4082500194, 3 clinicians

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 100Reported as group
Quality
77.19
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35063273OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Pathology Associates, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 1992 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.