DAVID E WAZER M.D NPI 1821053653

NPI Information

NPI: 1821053653
Provider Name: DAVID E WAZER, M.D
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
593 EDDY ST
DEPARTMENT OF RADIATION ONCOLOGY
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-8311
Get Directions

David E Wazer, M.D is a radiation oncology radiology in Providence, RI with 42 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. David E Wazer, M.D NPI is 1821053653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

593 EDDY ST
DEPARTMENT OF RADIATION ONCOLOGY
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-8311
Fax: (401) 444-5335

The NPI 1821053653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 4/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	00-59408	MASSACHUSETTS	No
2	2085R0001X	Radiology	Radiation Oncology	MD09674	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4804-8	OTHER	RHODE ISLAND	BLUE CROSS BLUE SHIELD
2	7006674	MEDICAID	RHODE ISLAND
3	709180	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
4	2400030	OTHER	RHODE ISLAND	UNITED HEALTHCARE
5	P00762784	OTHER	RHODE ISLAND	RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI
6	3032477	MEDICAID	MASSACHUSETTS
7	0190162	OTHER	RHODE ISLAND	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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