Joseph F Waeckerle, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

425062 Issued in KS

Practice address

5721 W 119TH St
Overland Park, KS 66209-3722

Phone

(913) 498-6533

Fax

(913) 498-6531

NPI assigned

Mar 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• United Imaging Consultants, LLC

  • Diagnostic Radiology Physician
  • Lenexa, KS
  • NPI 1588669766
  NPD (past)
• RMC HBP, LLC

  dba dba: RMC Pulmonary Physicians

  • Pulmonary Disease Physician
  • Kansas City, MO
  • NPI 1508855602
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295703718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662010838",
            "telephone_number": "913-469-4244",
            "fax_number": "913-469-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093722",
            "telephone_number": "913-498-6533",
            "fax_number": "913-498-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAECKERLE",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "425062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Vuong, PHARMD
• Fiston K Vuvu, PHARMD
• Erin L Wachter
• Thomas Waddell, MD
• Kim Wade, LPC
• Kathryn Eleanor Wagenheim, PT, DPT
• Abigail Elizabeth Wagle
• Emily Marie Wagner, PHARM.D.
• Stephanie Marie Wagner, MS RDN LDN
• Brianna Marie Wahl

• Emergency Medicine Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.