Judith M Wachendorf, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35059405 Issued in OH

Practice address

7201 English Dr
Cincinnati, OH 45244-3147

Phone

(513) 871-4682

Fax

(513) 871-4682

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Oasis Healthcare Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cincinnati, OH
  • NPI 1073602975
  NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1710076617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9931",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452090931",
            "telephone_number": "513-871-4682",
            "fax_number": "513-871-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 ENGLISH DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443147",
            "telephone_number": "513-871-4682",
            "fax_number": "513-871-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHENDORF",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35059405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0872499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vulnerology Biometrics LLC
• Dheer Abhay Vyas, M.D.
• W Boyd Crafton MD Inc
• Megan Wabnitz
• Steven Alan Wabnitz, M.D.
• Stephen J Wachendorf, DDS
• Leigha Wachs
• Madeline Ayn Wachtel
• Nancy Sue Wachter, RN-BC
• Heidi Wachtman Raney

• Physical Medicine & Rehabilitation Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.