Michael L. Waldschmidt, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

R2E49 Issued in MO

Practice address

2521 Glenn Hendren Dr
Suite 112
Liberty, MO 64068-3388

Phone

(816) 842-5555

Fax

(816) 842-8888

NPI assigned

Jul 11, 2005

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

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

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1811995129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 304",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163256",
            "telephone_number": "816-842-5555",
            "fax_number": "816-842-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 112",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-842-5555",
            "fax_number": "816-842-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDSCHMIDT",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "R2E49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202238903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jaylee Walker
• Alesha Wallace, PLPC
• Ryan Waller

• Vascular Surgery Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Vascular Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.