Nancy R Waxman, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0422772 Issued in KS

Practice address

10777 Nall Ave
#220
Overland Park, KS 66211-1362

Phone

(913) 469-0110

Fax

(913) 469-6579

NPI assigned

Jul 12, 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

Other names 1

• Nancy Roth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1336174820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 NALL AVE",
            "address_2": "#220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111362",
            "telephone_number": "913-469-0110",
            "fax_number": "913-469-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 NALL AVE",
            "address_2": "#220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111362",
            "telephone_number": "913-469-0110",
            "fax_number": "913-469-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "NANCY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "0422772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ROTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Watts
• Shelley Watts
• Shelley A. Watts, APRN FNP-C
• Vohn Watts, D.C.
• Herbert Joseph Waxman, M.D.
• Linda Jean Waxse, LCPC
• Kaitlin Way, CPTA
• Matthew Blair Way, LAT,ATC
• We Care Transportation
• Jacob Weakland, LPC

• Dermatology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.