Active NPI
Neil Waldman, MD
- Emergency Medicine Physician
- Montrose, CO
National Provider Identifier
1386667988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- CO32873
- Practice address
- 800 S 3Rd St
Montrose, CO 81401-4212 - Phone
- (970) 240-2211
- Fax
- (970) 240-7791
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | CO32873 | CO | Primary |
| Emergency Medicine Physician | 207P00000X | 6433 | AK |
Addresses
Primary practice location
800 S 3Rd St
Montrose, CO 81401-4212
Mailing address
948 Sage Rd
Montrose, CO 81403
Phone (970) 252-0321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930042222 | Other | RAILROAD MEDICARE | |
| 01328731 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6433 | AK | MD | Emergency Medicine Physician |
| CO32873 | CO | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1386667988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 SAGE RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81403",
"telephone_number": "970-252-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S 3RD ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014212",
"telephone_number": "970-240-2211",
"fax_number": "970-240-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "NEIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "CO32873",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AK",
"license": "6433",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930042222",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01328731",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
- Volunteers of America Care Facilities (Valley Manor Care Center)
- Volunteers of America Care Facilities (Valley Manor Care Center)
- Volunteers of America Homestead 2000, Inc. (Volunteers of America Home Health of Western Colorado)
- Nathan S Wagner, PSY.D.
- Wal-Mart Stores, Inc. (Vision Center 30-1058)
- James Waldren, DC
- Amee M Waldvogle, FNP-C
- Walgreen Co (Walgreens #09493)
- Walgreen Co. (Walgreens #9493)
- Bridget Walker, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.