Richard Waldman, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1166141 Issued in NY

Practice address

770 James St
Syracuse, NY 13203-2117

Phone

(315) 422-2222

Fax

(315) 472-8497

NPI assigned

Oct 26, 2005

Last updated

Dec 28, 2010By 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

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

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.

• Associates for Women's Medicine PLLC

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
  • NPI 1942258702
  Authorized official Same address or phone
• Holdings,LLC

  dba Harrison Center Outpatient Surgery

  • Multi-Specialty Clinic/Center
  • Syracuse, NY
  • NPI 1861563561
  NPD (past)
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1821088378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "STE 100A",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-423-9722",
            "fax_number": "315-423-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032117",
            "telephone_number": "315-422-2222",
            "fax_number": "315-472-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "1166141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00638239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Waite, N.P.
• Andre Antoine Wakim
• Alisabeth Anne Walburn, PA-C
• Nia Walcott, MD
• Carolyn Ann Walczyk, RRT
• Rebecca Jean Waldo, NP
• Christine Elizabeth Waldron, MSPT
• Susan Tina Waldt, LPN
• Walgreen Co (Rite Aid #4297)
• Walgreen Co (Rite Aid)

• Obstetrics & Gynecology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.