Paul William Wasserstein, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G358910 Issued in CA

Practice address

250 Bon Air Rd
Greenbrae, CA 94904

Phone

(415) 925-7174

Fax

(415) 898-0870

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

PathologyAlso: Nuclear Medicine

Education

State University of New York Downstate Medical Center, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marin Medical LaboratoriesGroup PAC ID 7911990916, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
• Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
• Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
• Providence Redwood Memorial Hospital Hospital, Fortuna, CA, CCN 051318
• Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321

Merit-based Incentive Payment System (MIPS)

Final score

81.54 of 100Reported as group

Quality

59.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Marin Medical Laboratories

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenbrae, CA
  • NPI 1447356811
  Medicare reassignment Care Compare group NPD
• Rachel Donohue MD PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Eureka, CA
  • NPI 1205715109
  Medicare reassignment NPD
• Marin Medical Laboratories

  • Anatomic Pathology & Clinical Pathology Physician
  • Novato, CA
  • NPI 1144326471
  NPD (past) Authorized official
• Marin Medical Laboratories

  • Anatomic Pathology & Clinical Pathology Physician
  • Eureka, CA
  • NPI 1356061477
  NPD
• Marin Medical Laboratories

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Rosa, CA
  • NPI 1326444647
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  NPD (past)

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

• Norcal Healthconnect LLC

  • General Acute Care Hospital
  • Petaluma, CA
  • NPI 1235162645
  Care Compare affiliation
• Norcal Healthconnect LLC

  • Multi-Specialty Clinic/Center
  • Healdsburg, CA
  • NPI 1720695547

  Hospital

  Care Compare affiliation
• Norcal Healthconnect LLC

  • Critical Access Hospital
  • Healdsburg, CA
  • NPI 1861009672
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1043292303
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1285849026
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • Home Infusion Therapy Pharmacy
  • Eureka, CA
  • NPI 1568422319

  Hospital

  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Eureka, CA
  • NPI 1609858950
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Eureka, CA
  • NPI 1891900635
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1467560094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HILL RD",
            "address_2": "STE B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94947",
            "telephone_number": "415-898-7649",
            "fax_number": "415-898-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-925-7174",
            "fax_number": "415-898-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERSTEIN",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "G358910",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G358910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G358910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen John Wagstaff, D.P.M.
• Lynn Marie Wahl, LCSW
• Debra Walhof
• Peter James Walsh, M.D.
• Aileen Wang
• Christopher Charles Waters
• Deborah Anne Weber, NP
• Igor Weisz, M.D.
• Jeffrey D Weitzman
• David Charles Welper, RN

• Anatomic Pathology & Clinical Pathology Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.