Active NPI
Makayla Mae Waltman, PA-C
- Medical Physician Assistant
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA065132
- Practice address
- 4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156 - Phone
- (412) 621-1818
- Fax
- (412) 621-4337
- NPI assigned
- Jan 15, 2024
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA065132 | PA | Primary |
Addresses
Primary practice location
4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156
Mailing address
4815 Liberty Ave Ste M54
Pittsburgh, PA 15224-2156
Phone (412) 621-1818
Other practice location 1
4800 Friendship Ave
Pittsburgh, PA 15224-1793
Phone (412) 578-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA065132 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765
122 Gallery Dr
Mc Murray, PA 15317
Phone (412) 283-0110
200 Quinn Dr
Ste 270
Pittsburgh, PA 15275
4815 Liberty Ave
Ste M54
Pittsburgh, PA 15224
Phone (412) 621-1818
4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212
4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030
651 Holiday Dr
Ste 100B
Pittsburgh, PA 15220
Phone (412) 539-1310
8950 Duncan Ave
Fl 3
Pittsburgh, PA 15237
Phone (412) 621-1818
Interoperability endpoints
- wmakayla457192@direct.ahn.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Orthopaedic Surgery Physician
- Monroeville, PA
- NPI 1093141079
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
- NPI 1508853029
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1629078332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1326819772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE M54",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-621-1818",
"fax_number": "412-621-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE M54",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-621-1818",
"fax_number": "412-621-4337"
}
],
"practiceLocations": [
{
"address_1": "4800 Friendship Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152241793",
"country_code": "US",
"telephone_number": "412-578-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTMAN",
"first_name": "MAKAYLA",
"middle_name": "MAE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA065132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.