Active NPI
John P Waldo, MD
- Specialist
- Winfield, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19892
- Practice address
- 1530 US Highway 43
Winfield, AL 35594-5056 - Phone
- (205) 870-0123
- NPI assigned
- Jul 5, 2005
- Last updated
- Sep 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115382 | Medicaid | AL | |
| 515-10170 | Other | AL | BLUE CROSS |
| 511-01854 | Other | AL | BLUE CROSS |
| 051551925 | Medicaid | AL | |
| P00050723 | Other | AL | RRMC |
| 631247115 | Other | AL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19892 | AL | MD | Pharmacist |
| 48274 | TN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Imaging Center LLC | Specialist | Current | Accepting new patients |
| Adi Radiology PC | Current | Accepting new patients | |
| Norwood Clinic Inc | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Columbus Radiology Corp | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Middle Tennessee Imaging LLC | Current | 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 | Past | 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
- 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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
dba Clarksville Imaging Center
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1043285539
AL, Specialist
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
-
dba MobilexUSA
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hunt Valley, MD
- NPI 1700865094
OH
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1104879741
-
dba Mercy Health - Boardman Orthopaedics
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
dba MHPY SPC - Howland Outpatient Physical Therapy
- Physical Therapist
- Warren, OH
- NPI 1528736972
-
- Diagnostic Radiology Physician
- Cape Girardeau, MO
- NPI 1477506392
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Health Center
- Clinical Medical Laboratory
- Warren, OH
- NPI 1538233309
Hospital
-
dba Mercy Health St Elizabeth Youngstown Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
dba Mercy Health St Joseph Warren Hospital
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
dba Mercy Health St Elizabeth Boardman Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
dba Mercy Health Youngstown Laboratory
- Clinical Medical Laboratory
- Youngstown, OH
- NPI 1831600295
Hospital
-
dba Mercy Regional Medical Center Laboratory
- Clinical Medical Laboratory
- Lorain, OH
- NPI 1164971800
Hospital
-
dba Mercy Health Lorain Hospital
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
-
- Rural Acute Care Hospital
- Cambridge, OH
- NPI 1346247350
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.