JAMES M WALDECK (NPI# 1760446637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760446637 |
| Entity Type | Individual |
| Full Name | JAMES M WALDECK |
| Credential | MD |
| Practice Address |
1600 Medical Center Dr Suite 3500 Huntington WV 25701-3656 |
| Practice Telephone | 3046911300 |
| Practice Fax Number | 3046911375 |
| Mailing Telephone | 3046911300 |
| Mailing Fax Number | 3046911375 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
14006 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0752172 | 05 | |
| KY | 64698301 | 05 | |
| WV | 0112996000 | 05 |
| Street Address |
1600 MEDICAL CENTER DR SUITE 3500 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847128 | Christie Monahan | Pharmacist | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-09-25 |
| 1255941639 | Haleigh Grace Hogue | Pharmacist | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-07-31 |
| 1689292872 | Yosuke Sakurai | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-07-14 |
| 1033736111 | Nidhi Shekar | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-07-06 |
| 1265059331 | Yuki Nakao | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-07-06 |
| 1790307700 | Armein Rahimpour | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-05-13 |
| 1104447853 | Micah Landry Macaskill | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-05-05 |
| 1891316261 | Grant Kahley | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-04-27 |
| 1508487984 | Gerard Vincent Giangrosso | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-04-27 |
| 1003437476 | Danielle Harris | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497812317 | Marie Difilippo Frazier | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2007-01-02 |
| 1689638611 | Eduardo Pino | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578664421 | James E Mcjunkin | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-25 |
| 1801138318 | Margaret Mary Mathewson | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2013-03-22 |
| 1801138508 | Lara Srouji | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2013-03-20 |
| 1730344045 | Claudiu C Faraon-pogaceanu | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2008-07-25 |
| 1265514780 | Charles J Mullett | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-20 |
| 1568542488 | Satid Thammasitboon | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1427138387 | Melvin L Wright | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1992728117 | Pediatrix Medical Group PC | Pediatrics | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2006-07-26 |
| 1891751731 | Mouna G Chebib | Pediatrics | 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302 | 2006-04-20 |
| City | HUNTINGTON |
| Zip Code | 25701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.