Jamie M Waldrep, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M3107 Issued in TX

Practice address

250 Strickland Dr
Orange, TX 77630-4750

Phone

(409) 883-7900

Fax

(409) 883-7909

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHDHCD/Endpoint/CHDHCD

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.

• Jamie M Waldrep MD PA

  • Pediatrics Physician
  • Orange, TX
  • NPI 1548228893
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952359838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STRICKLAND DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304750",
            "telephone_number": "409-883-7900",
            "fax_number": "409-883-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STRICKLAND DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304750",
            "telephone_number": "409-883-7900",
            "fax_number": "409-883-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDREP",
        "first_name": "JAMIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182037501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vault Chiropractic (Vault)
• Efren Gilbert Vega, M.D.
• Courtney Marie Verma, PHARMD
• Kylee Vidrine
• Vincent & Toney, Inc. Dba Stonewood Senior Living (Stonewood Senior Living)
• Walgreen Co (Walgreens #03081)
• Kyle Mathew Walker, D.D.S.
• Mark A. Weaver, O.D.
• Steven Michael Wesolowski, PTA
• West Orange-Cove Consolidated Independent School District

• Pediatrics Physician in Orange, TX
• Providers in Orange, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.