NPIMap

Individual provider Active NPI

Ryan Lloyd Waddell, DO

  • Pulmonary Disease Physician
  • Charleston, WV
National Provider Identifier
1528232683
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2879 Issued in WV
Practice address
4619 Kanawha Ave SW
Pulmonary Associates of Charleston
Charleston, WV 25309-1319
Phone
(304) 400-4545
Fax
(304) 400-4546
NPI assigned
Apr 18, 2008
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2879 WV
Pulmonary Disease Physician 207RP1001X 2879 WV Primary

Addresses

Primary practice location

4619 Kanawha Ave SW
Pulmonary Associates of Charleston
Charleston, WV 25309-1319

Mailing address

4619 Kanawha Ave SW
Pulmonary Associates of Charleston
Charleston, WV 25309-1319
Phone (304) 400-4545

Other practice location 1

4605 McCorkle Ave SW
South Charleston, WV 25309-1398
Phone (304) 766-3583

Other practice location 2

3200 McCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Other practice location 3

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-6822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141001002538 WV Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5092945345 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
West Virginia School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, shared by 9 NPIs, 65 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

333 Laidley St
Charleston, WV 25301-1614

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 400-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2364TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince Oct 1, 2020 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 7, 2024 Accepting new patients
Pulmonary Associates of Char LLC Pulmonary Disease CurrentSince Sep 1, 2014 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Hospital Development Co CurrentSince Oct 1, 2020 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 7, 2024 Accepting new patients
Hospital Development Co CurrentSince Jan 21, 2026 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 19, 2018 Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Current Accepting new patients
THS Physician Partners Inc Pulmonary Disease CurrentSince Jun 1, 2023 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jun 19, 2018 Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Interoperability endpoints

  • Direct secure messaging: rwaddell359158@direct.wvuhsdirect.com
  • Direct secure messaging: waddell@pac.gwaydirect.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1528232683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "address_2": "PULMONARY ASSOCIATES OF CHARLESTON",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-400-4545",
            "fax_number": "304-400-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "address_2": "PULMONARY ASSOCIATES OF CHARLESTON",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-400-4545",
            "fax_number": "304-400-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 McCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091398",
            "country_code": "US",
            "telephone_number": "304-766-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 McCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "WV",
            "postal_code": "252761050",
            "country_code": "US",
            "telephone_number": "304-927-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "RYAN",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2021-03-16",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WV",
            "license": "2879",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "2879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.