Active NPI
Richard N Waldman MD PC
- Dermatology Physician
- Fall River, MA
National Provider Identifier
1942407606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 42776
- Legal business name
- RICHARD N WALDMAN MD PC
- Practice address
- 235 Hanover St
Suite 308
Fall River, MA 02720-5246 - Phone
- (508) 679-7361
- Fax
- (508) 679-7702
- NPI assigned
- Jun 27, 2007
- Last updated
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda L Karppinen
- Title
- Office Manager
- Phone
- (508) 679-7361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 42776 | MA | Primary |
Addresses
Primary practice location
235 Hanover St
Suite 308
Fall River, MA 02720-5246
Mailing address
235 Hanover St
Suite 308
Fall River, MA 02720-5246
Phone (508) 679-7361
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042776 | Other | MA | TUFTS |
| B20459501 | Other | MA | CIGNA |
| K08334 | Other | MA | HMOB |
| 4030 | Other | MA | HARVARD PILGRIM HEALTH |
| 81277 | Other | MA | AETNA LIFE |
| M14936 | Other | MA | BLUECROSS |
| 4674-5 | Other | MA | RIBS |
| 03-01007 | Other | MA | UNITED HEALTH |
| 2061988 | Medicaid | MA | |
| 202428 | Other | MA | HMORI |
| 9759301 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
235 Hanover St
Ste 308
Fall River, MA 02720
Phone (508) 677-0700
300 Hanover St
Ste 2G
Fall River, MA 02720
Phone (508) 679-7361
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1942407606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 HANOVER ST",
"address_2": "SUITE 308",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205246",
"telephone_number": "508-679-7361",
"fax_number": "508-679-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 HANOVER ST",
"address_2": "SUITE 308",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205246",
"telephone_number": "508-679-7361",
"fax_number": "508-679-7702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD N WALDMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "KARPPINEN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "508-679-7361",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "42776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "042776",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20459501",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMOB",
"identifier": "K08334",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "4030",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE",
"identifier": "81277",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "M14936",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RIBS",
"identifier": "4674-5",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "03-01007",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061988",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMORI",
"identifier": "202428",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9759301",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.