MICHAEL JAMES WALDRON


Address: 505 S Nolen Dr, Suite B, Southlake, TX 76092-9167
Phone: 8173104490

MICHAEL JAMES WALDRON (NPI# 1760490130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760490130
Entity Type Individual
Full Name MICHAEL JAMES WALDRON
Credential M.D.
Practice Address 505 S Nolen Dr
Suite B
Southlake
TX 76092-9167
Mailing Address Po Box 35629
Dallas
TX 75235-0629
Practice Telephone 8173104490
Practice Fax Number 8173104491
Mailing Telephone 2144242200
Mailing Fax Number 2142312159
Enumeration Date 2006-08-03
Last Update Date 2017-02-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
E1165 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX RAILROAD MEDICARE 220006857 01
TX BCBS 80P362 01
TX 114577301 05

Other Providers MICHAEL WALDRON

NPI Name Taxonomy Address Enumeration
1275648180 Michael Joseph Waldron Dentist 350 Silver Lake Scotchtown Rd, Middletown, NY 10941-1546 2006-08-20
1245536317 Michael S Waldron Case Manager/Care Coordinator 3840 Orcutt Garey Rd, Santa Maria, CA 93454-9629 2011-02-07
1881994309 Michael Scott Waldron Pharmacist 210 Main St, Waterville, ME 04901-6116 2010-11-01

Office Location

Street Address 505 S NOLEN DR
SUITE B
City SOUTHLAKE
State TX
Zip Code 76092-9167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740266196 James J Weber Internal Medicine 505 S Nolen Dr, Southlake, TX 76092-9167 2005-12-19
1922529841 Lauren Nicole Atwood Physician Assistant 505 S Nolen Dr, Southlake, TX 76092-9167 2017-06-30
1871022806 Melissa Bachman Physician Assistant 505 S Nolen Dr, Southlake, TX 76092-9167 2017-06-04
1699127951 Heather Jo Kline Nurse Practitioner 505 S Nolen Dr, Ste A, Southlake, TX 76092-9167 2016-07-11
1629484167 Fiona K. Patel Physician Assistant 505 S Nolen Dr, Suite A, Southlake, TX 76092-9167 2014-07-04
1720323504 Heather Elizabeth Johnston Nurse Practitioner 505 S Nolen Dr, Southlake, TX 76092-9167 2012-12-04
1336419720 Pauline Nguyen Nurse Practitioner 505 S Nolen Dr, Suite A, Southlake, TX 76092-9167 2012-01-03
1306012356 Tanya H. Evans Internal Medicine 505 S Nolen Dr, Southlake, TX 76092-9167 2008-04-30
1831395995 Karen June Steffer Internal Medicine 505 S Nolen Dr, Suite A, Southlake, TX 76092-9167 2007-06-25
1275739815 Texas Digestive Disease Consultants, Pllc Clinical Medical Laboratory 505 S Nolen Dr, Ste B, Southlake, TX 76092-9167 2007-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730718990 Elizabeth Beazley Family Medicine 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 2020-04-08
1518508894 Arbor Pediatrics, Pllc Pediatrics 1130 N Kimball Ave, Southlake, TX 76092 2019-10-08
1346882685 Gs Ortho Assists, Pllc Physician Assistant 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 2019-10-08
1609340496 Rebecca Leigh Lander Physician Assistant 1170 N Carroll Ave., Southlake, TX 76092 2019-01-15
1225506223 Physicians Wellness Associates Pllc Family Medicine 1920 East State Highway 114, Southlake, TX 76092 2018-11-07
1740762459 Brandi L. Barker Chiropractor 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 2018-08-30
1033699228 Julie A. Seeber Physical Therapy Assistant 170 Stonebridge Lane, Southlake, TX 76092 2018-08-16
1992281364 Alayna Powers Nurse Practitioner 900 E Southlake Blvd Ste 300, Southlake, TX 76092 2018-07-18
1346732153 Amrittej Singh Virk Dentist 630 N Kimball Ave Ste 110, Southlake, TX 76092 2018-06-06
1740779594 Radiant Family Dental Pllc Dentist 2012 Southlake Glen Dr., Southlake, TX 76092 2018-05-08
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922235 Pathology Institute, Pllc Pathology 3201 University Dr E Ste 330, Bryan, TX 77802-3484 2020-11-04
1649893900 Medical Service Consultation Pa Pathology 2613 Sir Percival Ln, Lewisville, TX 75056-5710 2020-05-21
1578196358 Carlos M Torres Md Expert Pathology Consultation Servi Pathology 2840 Keller Springs Rd Ste 1104, Carrollton, TX 75006-4876 2020-02-19
1023654191 Marsha L Eigenbrodt Pathology 860 Junction Dr Apt 344, Allen, TX 75013-5244 2019-11-22
1184274508 Pathzone LLC Pathology 11215 Oudney Ct, Richmond, TX 77407-1883 2019-09-17
1184285587 Vipulkumar P Prajapati Pathology 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 2019-06-26
1548793409 Grant Williams Pathology 3551 Roger Brooke Dr # Tx, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 2017-04-07
1417307448 James Gaulding Pathology 19 Robledo Dr, Dallas, TX 75230-3055 2016-06-21
1386006492 Audra Robinson Pathology 5417 Ridgepass Ln, Mckinney, TX 75071-3082 2016-03-28
1760840730 Peachy Ridgway Gilmer Jr. Pathology 35 Tiel Way, Houston, TX 77019-1509 2016-02-05
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Competitor

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City SOUTHLAKE
Zip Code 76092

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Dataset Information

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.

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