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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
E1165 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | RAILROAD MEDICARE | 220006857 | 01 |
TX | BCBS | 80P362 | 01 |
TX | 114577301 | 05 |
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 |
Street Address |
505 S NOLEN DR SUITE B |
City | SOUTHLAKE |
State | TX |
Zip Code | 76092-9167 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 76092 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
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. |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MICHAEL JAMES WALDRON.
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.