Individual provider Active NPI

Steven M Waldman, DPM

  • Podiatrist
  • New Berlin, WI
National Provider Identifier
1750391801
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
579 Issued in WI
Practice address
3610 Michelle Witmer Memorial Dr Ste 110
New Berlin, WI 53151-5281
Phone
(262) 821-1588
Fax
(262) 821-6644
NPI assigned
Aug 9, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 579 WI Primary

Addresses

Primary practice location

3610 Michelle Witmer Memorial Dr Ste 110
New Berlin, WI 53151-5281

Mailing address

3610 Michelle Witmer Memorial Dr Ste 110
New Berlin, WI 53151-5281
Phone (262) 821-1588

Other identifiers 6

IdentifierTypeStateIssuer
70866OtherUNITED HEALTHCARE
4281709OtherAETNA
0957820001OtherDME
43212600MedicaidWI
759170Other1ST HEALTH
85899OtherWPS

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Podiatry, Inc. Podiatrist Past Accepting new patients
Horizon Home Care & Hospice, Inc. Past Accepting new patients
Ronald Z. Arnold & Steven M. Waldman PTRS Podiatrist PastSince Jan 1, 1975 Accepting new patients
Waukesha Foot Specialist Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1750391801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 MICHELLE WITMER MEMORIAL DR STE 110",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515281",
            "telephone_number": "262-821-1588",
            "fax_number": "262-821-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 MICHELLE WITMER MEMORIAL DR STE 110",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515281",
            "telephone_number": "262-821-1588",
            "fax_number": "262-821-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "70866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4281709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0957820001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43212600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST HEALTH",
            "identifier": "759170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "85899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.