Organization Active NPI

Robert Waldmann DO PC

  • Hematology & Oncology Physician
  • Clinton TWP, MI
National Provider Identifier
1598746745
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
5101005717 Issued in MI
Legal business name
ROBERT WALDMANN DO PC
Practice address
43555 Dalcoma Dr
Suite 8
Clinton TWP, MI 48038-6310
Phone
(586) 286-9055
Fax
(586) 286-2934
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Robert Waldman, DO
Title
President
Phone
(586) 286-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 5101005717 MI Primary

Addresses

Primary practice location

43555 Dalcoma Dr
Suite 8
Clinton TWP, MI 48038-6310

Mailing address

43555 Dalcoma Dr
Suite 8
Clinton TWP, MI 48038-6310
Phone (586) 286-9055

Other identifiers 1

IdentifierTypeStateIssuer
1413613MedicaidMI

National Provider Directory

National Provider Directory

Locations

43555 Dalcoma Dr
Ste 8
Clinton Twp, MI 48038
Phone (586) 286-9055

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1598746745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "SUITE 8",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-286-9055",
            "fax_number": "586-286-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "SUITE 8",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-286-9055",
            "fax_number": "586-286-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WALDMANN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-286-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "5101005717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1413613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.