Emilie Wasserman

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64750 Issued in AZ

Practice address

4751 N 15TH St
Phoenix, AZ 85014-3707

Phone

(602) 277-7526

NPI assigned

Mar 19, 2013

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Family Practice

Education

University of Rochester School of Medicine and Dentistry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Planned Parenthood of Central and Western New York IncGroup PAC ID 6406848647, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emilie.wassermanmd.p4@direct.usppny.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Planned Parenthood of Central and Western New York, Inc

  • Ambulatory Family Planning Facility
  • Rochester, NY
  • NPI 1306909957
  Medicare reassignment Care Compare group NPD
• Planned Parenthood Hudson Peconic Inc.

  • Ambulatory Family Planning Facility
  • Smithtown, NY
  • NPI 1285701672
  Medicare reassignment NPD
• Planned Parenthood Arizona

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
  • NPI 1104071968
  NPD (past)
• Planned Parenthood of the Rochester/Syracuse Region

  • Ambulatory Family Planning Facility
  • Rochester, NY
  • NPI 1669568937
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1649512526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 N 15TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 N 15TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143707",
            "telephone_number": "602-277-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "EMILIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "285977",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "64750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shima Washington, FNP-C, PMHNP-BC
• Shonta Washington, RN
• Sierra Washington, RBT
• Tovia Washington
• Dana Wasserman, NP
• Lauren Wasserman, OTA/BHT
• Wassim Ballan MD PLLC
• Garrett Wasson, DPT
• Megan Nicole Wasson, D.O.
• Samantha N Wasson

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.