Organization Active NPI

Richard N Waldman MD PC

  • Dermatology Physician
  • Fall River, MA
National Provider Identifier
1942407606
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
42776 Issued in MA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
042776OtherMATUFTS
B20459501OtherMACIGNA
K08334OtherMAHMOB
4030OtherMAHARVARD PILGRIM HEALTH
81277OtherMAAETNA LIFE
M14936OtherMABLUECROSS
4674-5OtherMARIBS
03-01007OtherMAUNITED HEALTH
2061988MedicaidMA
202428OtherMAHMORI
9759301MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.