Barry Lee Waddell, MD | |
751 S Bascom Ave, Anesthesiology Department, San Jose, CA 95128-2604 | |
(408) 885-5745 | |
Not Available |
Full Name | Barry Lee Waddell |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 751 S Bascom Ave, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083677959 | NPI | - | NPPES |
00A831610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A83161 (California) | Primary |
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
---|---|
Barry Lee Waddell, MD Po Box 5280, Patient Busienss Services, San Jose, CA 95150-5280 Ph: () - | Barry Lee Waddell, MD 751 S Bascom Ave, Anesthesiology Department, San Jose, CA 95128-2604 Ph: (408) 885-5745 |
Michael Thomas Paige, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-558-2100 | |
Audrey Lee Adams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-558-2100 | |
Dr. Mamta Thukral, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: Santa Teresa Medical Center, 250 Hospital Parkway, San Jose, CA 95119 Phone: 408-972-6164 | |
Cherine Ayesh Abu-eid, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Department, San Jose, CA 95128 Phone: 408-885-5000 | |
Dr. Francis Dominic Wong, D.O Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000 | |
Dr. Audrey Lee, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-559-2011 | |
Peter Tzee Tseng Sun, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 225 N Jackson Ave, San Jose, CA 95116 Phone: 408-259-5000 Fax: 408-928-7041 |