Individual provider Active NPI

Paula Waddy, M.D.

  • Family Medicine Physician
  • Salisbury, MD
National Provider Identifier
1679656441
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD33002 Issued in DC
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20101227000377 FL Practitioner - Family Practice 3274721881 Practice locations: Jacksonville, FL
I20171028000222 PA Practitioner - Family Practice 3274721881 Reassigns benefits to 1 organization
I20181107000256 MD Practitioner - Family Practice 3274721881 Reassigns benefits to 2 organizations
I20211019002311 AL Practitioner - Family Practice 3274721881 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD33002DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Tidalhealth Peninsula Regional, Inc. Family Medicine CurrentSince Sep 16, 2018 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Apr 1, 2019 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Aug 24, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Jul 15, 2021 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Sep 16, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Aug 24, 2023 Accepting new patients
Memorial Hospital and Medical Center of Cumberland, Inc. Past Accepting new patients
Chattahoochee Valley Family Family Medicine PastSince Jan 13, 2003 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine PastSince Oct 31, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.