ELIZABETH MARIE WACKER MD NPI 1467912303

NPI Information

  • NPI: 1467912303
  • Provider Name: ELIZABETH MARIE WACKER, MD
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3401 CIVIC CENTER BLVD
    DIVISION OF PEDIATRIC ORTHOPAEDIC SURGERY
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (267) 590-1527

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NPI Details

Elizabeth Marie Wacker, MD is a pediatric orthopaedic surgery orthopaedic surgery in Philadelphia, PA with 7 years of experience. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. Elizabeth Marie Wacker, MD NPI is 1467912303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2019

The provider's business location address is:

3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC ORTHOPAEDIC SURGERY
PHILADELPHIA, PA
ZIP 19104
Phone: (267) 590-1527

The NPI 1467912303 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 3/25/2019 and was last updated on 6/27/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryMT230712PENNSYLVANIAYes

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: 11/21/2025

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