Carol Ann Waxman, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0018351 Issued in NY

Practice address

4504 State Route 55
Swan Lake, NY 12783

Phone

(845) 292-6875

Fax

(845) 292-4873

NPI assigned

Jul 24, 2006

Sex

Female

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

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326060906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HALL ROAD",
            "city": "GRAHAMSVILLE",
            "state": "NY",
            "postal_code": "127409749",
            "telephone_number": "845-985-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 STATE ROUTE 55",
            "city": "SWAN LAKE",
            "state": "NY",
            "postal_code": "12783",
            "telephone_number": "845-292-6875",
            "fax_number": "845-292-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0018351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Ann O'Donohue, M.S., R.D., C.D.N.
• Sonia Olsen, RN
• Olga Renee Saltzman, RN
• Jena M Schwartz, MS SLP-CCC
• Krista Anne Smith, LMSW
• Kathleen J Zylko, RN

• Physician Assistant in Swan Lake, NY
• Providers in Swan Lake, NY by specialty
• Physician Assistant in New York

• 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.