Active NPI
Deborah Scannell Waldman, AU.D.
- Audiologist
- Boston, MA
National Provider Identifier
1306984166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 395
- Practice address
- 45 Francis St
Boston, MA 02115-6105 - Phone
- (617) 525-6505
- Fax
- (617) 525-6511
- NPI assigned
- Feb 2, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 395 | MA | Primary |
Addresses
Primary practice location
45 Francis St
Boston, MA 02115-6105
Mailing address
637 E 1St St
Unit 201
South Boston, MA 02127-1733
Phone (508) 954-9488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Francis St
Boston, MA 02115-6105
Phone (617) 732-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 395 | MA | MD | Acupuncturist |
Interoperability endpoints
- waldman.deborah.bwh@direct.partners.masshiway.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1306984166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 E 1ST ST",
"address_2": "UNIT 201",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021271733",
"telephone_number": "508-954-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156105",
"telephone_number": "617-525-6505",
"fax_number": "617-525-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "DEBORAH",
"middle_name": "SCANNELL",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.