Nina Waber, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

48186 Issued in AZ

Practice address

1500 N Wilmot Rd
Tucson, AZ 85712-4416

Phone

(520) 324-7840

Fax

(520) 324-7839

NPI assigned

May 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment NPD
• Al Shaafi Medical PC

  dba Children's Medical Center of Tucson

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1316946445
  NPD (past)
• Pediatrics GPS, Inc

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1336758861
  NPD (past)
• Saguaro Physicians, LLC

  dba TMC One

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1356397921
  NPD (past)

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1871852988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4100",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124416",
            "telephone_number": "520-324-7840",
            "fax_number": "520-324-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABER",
        "first_name": "NINA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A121211",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "48186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL LICENSE",
            "identifier": "48186",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "848853",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravi Vuthoori, M.D.
• Jennifer Vyas, D.D.S.
• Bridget Vyborny, LCSW
• Brigette Vyborny, DNP, CRNA
• W & W Rehab Services,L.L.C.
• Hailey Wachter, DPT
• Richard Dennis Wachter, MD
• Elizabeth E Wack, M.D.
• Sophia Wacker, RBT
• Jenna Rose Wade

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.