Individual provider Active NPI

Michael Joseph Waldman, M.D.

  • Family Medicine Physician
  • Silverdale, WA
National Provider Identifier
1336334986
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00047031 Issued in WA
Practice address
9927 Mickelberry Rd NW
Suite 131
Silverdale, WA 98383-7860
Phone
(360) 337-5800
Fax
(360) 692-1392
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00047031 WA Primary

Addresses

Primary practice location

9927 Mickelberry Rd NW
Suite 131
Silverdale, WA 98383-7860

Mailing address

9927 Mickelberry Rd NW
Suite 131
Silverdale, WA 98383-7860
Phone (360) 337-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000381 WA Practitioner - Family Practice 3375626799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

9927 Mickelberry Rd NW
Suite 131
Silverdale, WA 98383-7861
Phone (360) 337-5800

Hospital & facility affiliations

  • CHI Franciscan Health at Home Home health agency, University Place, WA, CCN 507124
  • Centerwell Home Health Home health agency, Silverdale, WA, CCN 507106
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Family Medicine CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Harrison Medical Center Past Accepting new patients
Health Services & Management Inc. Past Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients
Peninsula Community Health Services Family Medicine Past Accepting new patients

Locations

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

9927 Mickelberry Rd NW
Ste 131
Silverdale, WA 98383
Phone (360) 337-5800

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: mwaldman58741@fhsce.catholichealth.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1336334986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW",
            "address_2": "SUITE 131",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837860",
            "telephone_number": "360-337-5800",
            "fax_number": "360-692-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW",
            "address_2": "SUITE 131",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837860",
            "telephone_number": "360-337-5800",
            "fax_number": "360-692-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.