Thomas Waddell, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R5010 Issued in MO

Practice address

12300 Metcalf Ave
Overland Park, KS 66213-1324

Phone

(913) 317-7678

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alliance Radiology, PA

  • Diagnostic Radiology Physician
  • Shawnee Mission, KS
  • NPI 1467400663
  NPD (past)
• Radiology Associates of Kansas City, LLC

  • Vascular & Interventional Radiology Physician
  • Leawood, KS
  • NPI 1437308889
  NPD (past)
• Medical Plaza Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Kansas City, MO
  • NPI 1356418156
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1740257286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 NIEMAN RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141868",
            "telephone_number": "913-599-6777",
            "fax_number": "913-599-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-317-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R5010",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-14490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04772024",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10015450F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Vrab
• Nam Vu
• Holly Vuong, PHARMD
• Fiston K Vuvu, PHARMD
• Erin L Wachter
• Kim Wade, LPC
• Joseph F Waeckerle, MD
• Kathryn Eleanor Wagenheim, PT, DPT
• Abigail Elizabeth Wagle
• Emily Marie Wagner, PHARM.D.

• Diagnostic Radiology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Diagnostic Radiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.