Danielle Marie Waymire, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

71076-20 Issued in WI

Practice address

1320 Pabst Farms Cir Unit 180
Oconomowoc, WI 53066-4878

Phone

(262) 560-0322

Fax

(262) 560-0379

NPI assigned

Dec 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Georgetown University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dermatology Group IncGroup PAC ID 6406740141, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Dermatology Group, Inc

  • Dermatology Physician
  • Mason, OH
  • NPI 1780617860
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1689943680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 PABST FARMS CIR UNIT 180",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664878",
            "telephone_number": "262-560-0322",
            "fax_number": "262-560-0379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N Mayfair Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261328",
            "country_code": "US",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 N Port Washington Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532173885",
            "country_code": "US",
            "telephone_number": "414-355-2405",
            "fax_number": "414-355-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 W Loomis Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328030",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-858-9104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAYMIRE",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "71076-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Watertown Regional Medical Center, Inc (UWHP WRMC One Wellness)
• Watertown Regional Medical Center, Inc (UWHP WRMC Oconomowoc Clinic)
• Amanda Watkins, MASTERS, SAC-IT
• Waukesha Health Care, Inc. (ProHealth Care Medical Associates)
• Waukesha Medical Services, LLC
• Elizabeth Mary Weil, PHARMD
• Alexandra Weisshaar
• Maggie A Weissman, APNP
• Timothy S Welsch, PA
• Cheyley Welsh

• Dermatology Physician in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.