NPIMap

Organization Active NPI

Michal Waldman DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1831619956
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3767 Issued in FL
Legal business name
MICHAL WALDMAN DPM PA
Practice address
3210 Cove Bend Dr
Tampa, FL 33613-2752
Phone
(813) 972-4300
Fax
(813) 972-4180
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Michal Waldman, DPMNPI 1295175958
Title
Podiatrist
Phone
(813) 972-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3767 FL Primary

Addresses

Primary practice location

3210 Cove Bend Dr
Tampa, FL 33613-2752

Mailing address

3210 Cove Bend Dr
Tampa, FL 33613-2752
Phone (813) 972-4300

Other practice location 1

1706 E Bearss Ave
Tampa, FL 33613-2451
Phone (813) 972-4300

Other names 1

  • North Tampa Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171013001087 FL Part B Supplier - Clinic/Group Practice 4385919513 Receives reassigned benefits from 4 practitioners
Practice locations: Tampa, FL
O20171204001182 FL DME Supplier - Physician - Podiatry 4385919513 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

1706 E Bearss Ave
Tampa, FL 33613
Phone (813) 972-4300

3210 Cove Bend Dr
Tampa, FL 33613
Phone (813) 972-4300

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1831619956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-972-4300",
            "fax_number": "813-972-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-972-4300",
            "fax_number": "813-972-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 E Bearss Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336132451",
            "country_code": "US",
            "telephone_number": "813-972-4300",
            "fax_number": "813-972-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAL WALDMAN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-05-10",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "813-972-4300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Tampa Foot Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Tampa Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.