Ron W Waeckerlin, M.D.

Primary specialty

Cytopathology PhysicianTaxonomy code 207ZC0500X

License

E12250 Issued in WY

Practice address

2301 House Ave Ste 108
Cheyenne, WY 82001-3177

Phone

(307) 634-9238

Fax

(307) 778-3665

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anapath Diagnostics Inc

  • Clinical Medical Laboratory
  • Cheyenne, WY
  • NPI 1467507616
  NPD (past)
• Anapath Diagnostics, Inc

  • Clinical Medical Laboratory
  • Cheyenne, WY
  • NPI 1386743169
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790721306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 108",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013177",
            "telephone_number": "307-634-9238",
            "fax_number": "307-778-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 108",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013177",
            "telephone_number": "307-634-9238",
            "fax_number": "307-778-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAECKERLIN",
        "first_name": "RON",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "WY",
            "license": "E12250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Vossler, PA-C
• Kristin Voycheske
• Corrine Vrijhof, BA
• Korbe Christopher Wadas
• Shaunda Lyn Waddle, CSFA
• Anne S Wagner, LCSW
• Kelsey Leigh Wagner, PA
• Philip L Wagner, MD
• Megan M Wagnon, PHARMACIST
• Brock Wahlert

• Cytopathology Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Cytopathology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.