Pamela Claire Walders, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

137802 Issued in NY

Practice address

258 Hoosick St
Suite 106
Troy, NY 12180-2427

Phone

(518) 271-1331

Fax

(518) 271-8712

NPI assigned

Aug 16, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pamelac.walders@troypediatrics.chartmakerdirect.com

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.

• Troy Pediatrics, LLP

  • Pediatrics Physician
  • Troy, NY
  • NPI 1497721575
  NPD (past) Authorized official

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1447242425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST",
            "address_2": "SUITE 106",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802427",
            "telephone_number": "518-271-1331",
            "fax_number": "518-271-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST",
            "address_2": "SUITE 106",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802427",
            "telephone_number": "518-271-1331",
            "fax_number": "518-271-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDERS",
        "first_name": "PAMELA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "137802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00387559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Vroman, LMT
• Kristin Lynn Wagner, LMHC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• James Walders
• Elizabeth Waldron
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Pediatrics Physician in Troy, NY
• Providers in Troy, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.