Individual provider Active NPI

John P Waldo, MD

  • Specialist
  • Winfield, AL
National Provider Identifier
1861499832
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19892 Issued in AL
Practice address
1530 US Highway 43
Winfield, AL 35594-5056
Phone
(205) 870-0123
NPI assigned
Jul 5, 2005
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19892 AL Primary

Addresses

Primary practice location

1530 US Highway 43
Winfield, AL 35594-5056

Mailing address

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7718
Phone (205) 871-4274

Other identifiers 6

IdentifierTypeStateIssuer
115382MedicaidAL
515-10170OtherALBLUE CROSS
511-01854OtherALBLUE CROSS
051551925MedicaidAL
P00050723OtherALRRMC
631247115OtherALAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040922000970 AL Practitioner - Diagnostic Radiology 1355319872 Reassigns benefits to 4 organizations
I20141118001852 OH Practitioner - Diagnostic Radiology 1355319872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

1358 Holland St
Gulf Shores, AL 36542-4095
Phone (888) 271-3826

1932 Niles Cortland Rd NE
Suite X
Warren, OH 44484-1055
Phone (330) 306-5371

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19892ALMDPharmacist
48274TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Imaging Center LLC Specialist CurrentSince Jun 18, 2025 Accepting new patients
Adi Radiology PC CurrentSince Jun 1, 2025 Accepting new patients
Norwood Clinic Inc CurrentSince Nov 1, 2004 Accepting new patients
Mercy Health Physicians Youngstown, LLC Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Columbus Radiology Corp CurrentSince Oct 1, 2021 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Oct 1, 2021 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Jun 1, 2025 Accepting new patients
Symphony Diagnostic Services No 1 LLC Past Accepting new patients
Cape Radiology Group, P.C. Past Accepting new patients
Columbus Radiology Corp Past Accepting new patients
Kan-Di-Ki, LLC Past Accepting new patients
Community Mobile Ultrasound, LLC PastSince Feb 19, 2017 Accepting new patients

Locations

2018 Medical Center Dr
Ste 301
Birmingham, AL 35209
Phone (205) 802-6982

2244 North Rd
Gardendale, AL 35071
Phone (205) 418-1080

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

5940 Oak Point Rd
Lorain, OH 44053
Phone (440) 988-3705

200 W Lorain St
Oberlin, OH 44074
Phone (440) 323-8515

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

1607 State Route 60
Ste 6
Vermilion, OH 44089
Phone (440) 934-8344

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1861499832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097718",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945056",
            "telephone_number": "205-870-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDO",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "19892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115382",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "515-10170",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-01854",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551925",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00050723",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "631247115",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

Verify at the official NPI Registry.