Active NPI
David William Waldram, M.D.
- Orthopaedic Surgery Physician
- Powell Butte, OR
National Provider Identifier
1730505488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 8507
- Practice address
- 15200 SW Aquatic View
Powell Butte, OR 97753 - Phone
- (503) 703-0482
- NPI assigned
- Mar 5, 2014
- Last updated
- Mar 5, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 8507 | OR | Primary |
Addresses
Primary practice location
15200 SW Aquatic View
Powell Butte, OR 97753
Mailing address
15200 S.W. Aquatic View
Powell Butte, OR 97753
Phone (503) 703-0482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8507 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Fracture Clinic PC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthopedic & Fracture Clinic PC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Orthopedic and Fracture Specialists
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1285683656
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1871050153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1730505488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 S.W. AQUATIC VIEW",
"city": "POWELL BUTTE",
"state": "OR",
"postal_code": "97753",
"telephone_number": "503-703-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 SW AQUATIC VIEW",
"city": "POWELL BUTTE",
"state": "OR",
"postal_code": "97753",
"telephone_number": "503-703-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRAM",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "8507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell Butte, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.