Tadaie Wakamatsu, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C1-0000899 Issued in DE

Practice address

701 N Clayton St
Suite 601
Wilmington, DE 19805-3165

Phone

(302) 652-6050

Fax

(302) 652-6053

NPI assigned

Jul 8, 2005

Last updated

Nov 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Francis Hospital Inc

  dba Advanced Surgical Specialists

  • Surgery Physician
  • Wilmington, DE
  • NPI 1811210222
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1396743969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8157",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198038157",
            "telephone_number": "302-652-6032",
            "fax_number": "302-652-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST",
            "address_2": "SUITE 601",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-652-6050",
            "fax_number": "302-652-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKAMATSU",
        "first_name": "TADAIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0000899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000038101",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Wahl, DDS
• Patrick T Wahl, DMD
• Gary L Waite, D.M.D.
• Karen Lee Waite, B.S., C.A.D.C.
• Margot Waitz, DO
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5436)
• Hannah Elizabeth Walczykowski
• Walgreen Co (Walgreens #11024)
• Walgreen Co (Walgreens # 11014)
• Walgreen Co (Walgreens #13823)

• Surgery Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.