| NPI | 1083677959 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-04-10 |
| Last Updated | 2010-01-22 |
| Mailing Address | Po Box 5280, Patient Busienss Services San Jose, CA 95150-5280 United States 📍 View Map |
| Primary Practice Address | 751 S Bascom Ave, Anesthesiology Department San Jose, CA 95128-2604 United States Phone: (408) 885-5745 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 00A831610 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207L00000X – Anesthesiology | CA | A83161 |
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About NPI 1083677959
Barry Lee Waddell MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083677959. The primary specialty listed is Anesthesiology. The provider is located in San Jose, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083677959?
NPI 1083677959 belongs to Barry Lee Waddell MD, a Anesthesiology in San Jose, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083677959 active?
The current status of NPI 1083677959 in the NPPES registry is Active. The record was last updated on 2010-01-22.
What specialty is NPI 1083677959?
NPI 1083677959 is classified under the taxonomy Anesthesiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083677959?
You can verify NPI 1083677959 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083677959?
The primary practice address on file for NPI 1083677959 is 751 S Bascom Ave, San Jose, CA 95128-2604. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083677959 issued?
NPI 1083677959 was first issued (enumerated) on 2006-04-10. The NPPES record was last updated on 2010-01-22.
Practice Location Map
Barry Lee Waddell is located at 751 S Bascom Ave, San Jose, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Barry Lee Waddell. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083677959. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Anesthesiology | A83161 | CA |