DR. RICHARD JOHN WACLAWSKI M.D. NPI 1568429306

NPI Information

NPI: 1568429306
Provider Name: DR. RICHARD JOHN WACLAWSKI, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
340 HULSE RD
PENSACOLA, FL
ZIP 32508
Phone: (850) 452-2458
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DR. Richard John Waclawski, M.D. is a general practice in Pensacola, FL with 20 years of experience. DR. Richard John Waclawski, M.D. NPI is 1568429306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2004

The provider's business location address is:

340 HULSE RD
PENSACOLA, FL
ZIP 32508-089
Phone: (850) 452-2458

The NPI 1568429306 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 4/26/2006 and was last updated on 11/29/2021.

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	208D00000X	General Practice		23560	NEBRASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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