MR. ZACHARY O WALDON (NPI# 1861838997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861838997 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY O WALDON |
| Credential | PA |
| Practice Address |
10 N Main St Charlton MA 01507 |
| Mailing Address |
Po Box 40 Southbridge MA 01550-0040 |
| Practice Telephone | 5082481770 |
| Mailing Telephone | 5089097799 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4572 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 N MAIN ST |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998587 | Cori Bailey | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2019-08-22 |
| 1568029437 | Kelly Ann Diaz | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-05-24 |
| 1568922334 | Randy Wnuk | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-03-20 |
| 1962914143 | Harpreet Kaur | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-10-28 |
| 1558883314 | Hillary Rae Fazio | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-07-13 |
| 1679934335 | Traci Ann Mercier | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2016-03-09 |
| 1093119216 | Rebecca Louise Russo | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2014-10-17 |
| 1285060616 | Zareen Lakhani Barry | Registered Nurse | 10 N Main St, Charlton, MA 01507-1590 | 2013-09-17 |
| 1528316544 | Heather C. Sienel | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2012-08-23 |
| 1013187616 | Stacy L. Pominville | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| 1922651405 | Ingrid Florencio Delinski | Physician Assistant | 78 Alvarado Ave, Worcester, MA 01604-1152 | 2019-07-23 |
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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.