Active NPI
Paula Waddy, M.D.
- Family Medicine Physician
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD33002
- Practice address
- 145 E Carroll St # 101-102
Salisbury, MD 21801-5454 - Phone
- (800) 749-5191
- NPI assigned
- Oct 23, 2006
- Last updated
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD33002 | DC | Primary |
Addresses
Primary practice location
145 E Carroll St # 101-102
Salisbury, MD 21801-5454
Mailing address
73 V St NW
Washington, DC 20001-1012
Phone (202) 368-1526
Other practice location 1
1833 Boulevard
Jacksonville VA Outpatient Clinic
Jacksonville, FL 32206
Phone (904) 232-2751 ext. 2011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA, MD, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD33002 | DC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Family Medicine | Current | Accepting new patients |
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Family Medicine | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Memorial Hospital and Medical Center of Cumberland, Inc. | Past | Accepting new patients | |
| Chattahoochee Valley Family | Family Medicine | Past | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1615 21st Ct
Phenix City, AL 36867
Phone (334) 297-4883
1810 Stadium Dr
Ste 240
Phenix City, AL 36867
Phone (334) 291-8303
815 E Pratt St
Baltimore, MD 21202
Phone (410) 637-5700
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
2101 E Jefferson St
#4E
Rockville, MD 20852
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
145 E Carroll St
#101102
Salisbury, MD 21801
Phone (410) 912-5785
1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
800 Washington Ave
Philadelphia, PA 19147
Phone (215) 339-5100
Organizations & group practices 11
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.
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1184832040
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1699240531
-
dba GPHA Woodland Ave. Behavioral Healthcare
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
-
dba South Baltimore County Medical Center
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1417294984
-
dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
dba TidalHealth Specialty Pharmacy
- Community/Retail Pharmacy
- Salisbury, MD
- NPI 1871031559
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
-
dba Memorial Hosp Med Ctr Hosp
- General Acute Care Hospital
- Cumberland, MD
- NPI 1669437216
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1760598643
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1679656441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 V ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200011012",
"telephone_number": "202-368-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E CARROLL ST # 101-102",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015454",
"telephone_number": "800-749-5191"
}
],
"practiceLocations": [
{
"address_1": "1833 Boulevard",
"address_2": "Jacksonville VA Outpatient Clinic",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32206",
"country_code": "US",
"telephone_number": "904-232-2751 x2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADDY",
"first_name": "PAULA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD33002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
- W-S Associates Inc (Apple Discount Drugs)
- W-S Associates Inc (Apple Discount Drugs)
- W-S Associates, Inc. T/a Apple Discount Drugs Immunizations
- Karen Alane Wackett, LCSW-C
- Olivia Helen Wackett, LCSW-C
- Salina Waddy
- Casey Neshun Wadsworth, MD
- Caroline Clarry Wagner, PT, DPT
- Mark Wagner, LCSW-C
- Michael Wagner, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.