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PAUL LOUIS WASSERMAN DO NPI 1699701011


NPI Information

NPI: 1699701011
Provider Name: PAUL LOUIS WASSERMAN, DO
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL
ZIP 32164
Phone: (386) 586-2000
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Paul Louis Wasserman, DO is a diagnostic radiology radiology in Palm Coast, FL with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Paul Louis Wasserman, DO NPI is 1699701011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:1999

The provider's business location address is:

60 MEMORIAL MEDICAL PKWY
PALM COAST, FL
ZIP 32164-980
Phone: (386) 586-2000
Fax: (317) 705-5047

The NPI 1699701011 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 6/25/2006 and was last updated on 9/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody Imaging2004-00278NORTH CAROLINANo
22085B0100XRadiologyBody ImagingOS1113FLORIDANo
32085R0202XRadiologyDiagnostic Radiology2004-00278NORTH CAROLINANo
42085R0204XRadiologyVascular & Interventional RadiologyOS11113FLORIDANo
52085R0204XRadiologyVascular & Interventional Radiology2004-00278NORTH CAROLINANo
62085R0202XRadiologyDiagnostic RadiologyOS11113FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1189353OTHERMEDCOST
22038722DOTHERNORTH CAROLINAMEDICARE
37547722OTHERAETNA
4Q0027MMEDICAIDSOUTH CAROLINA
5805973OTHERPARTNERS
65901625MEDICAIDNORTH CAROLINA
7139NMOTHERBCBS
83810008229MEDICAIDWEST VIRGINIA
9P00367349OTHERRR MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.