MICHAEL L. WALDSCHMIDT (NPI# 1811995129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811995129 |
| Entity Type | Individual |
| Full Name | MICHAEL L. WALDSCHMIDT |
| Credential | M.D. |
| Practice Address |
2521 Glenn Hendren Dr Suite 112 Liberty MO 64068-3388 |
| Mailing Address |
2750 Clay Edwards Dr Ste 304 Kansas City MO 64116-3256 |
| Practice Telephone | 8168425555 |
| Practice Fax Number | 8168428888 |
| Mailing Telephone | 8168425555 |
| Mailing Fax Number | 8168428888 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
R2E49 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202238903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114250222 | Michael Leo Waldschmidt | Case Manager/Care Coordinator | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2009-09-09 |
| Street Address |
2521 GLENN HENDREN DR SUITE 112 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283753 | Thomas F Jones | Specialist | 2521 Glenn Hendren Dr, Ste 408, Liberty, MO 64068-3388 | 2005-05-23 |
| 1548719750 | Sarah Love | Nurse Practitioner | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2016-09-28 |
| 1750838421 | Crowntown General Surgery, PC | Surgery | 2521 Glenn Hendren Dr, Suite 410, Liberty, MO 64068-3388 | 2016-09-09 |
| 1740609460 | Katie Brewer | Audiologist | 2521 Glenn Hendren Dr, Suite 104, Liberty, MO 64068-3388 | 2014-04-09 |
| 1750633327 | New Liberty Hospital Corporation | Internal Medicine | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2012-10-08 |
| 1023369212 | Abigail Boethin | Physician Assistant | 2521 Glenn Hendren Dr, Ste 306, Liberty, MO 64068-3388 | 2012-09-27 |
| 1215288733 | New Liberty Hospital Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2521 Glenn Hendren Dr, Suite 308, Liberty, MO 64068-3388 | 2012-09-24 |
| 1013146448 | Liberty Cardiovascular Specialists | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2009-07-07 |
| 1093940157 | Kirstie Schneider Van Ry | Surgery | 2521 Glenn Hendren Dr, Ste 108, Liberty, MO 64068-3388 | 2009-05-19 |
| 1457597205 | Carlene Marie Breen | Nurse Practitioner | 2521 Glenn Hendren Dr, Ste 306, Liberty, MO 64068-3388 | 2008-12-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235274127 | Vascular Surgery Associates, P.C. | Surgery | 2521 Glenn Hendren Dr, Suite 112, Liberty, MO 64068-3388 | 2007-02-20 |
| 1720124191 | Michael K. Deiparine | Surgery | 2521 Glenn Hendren Dr, Suite 112, Liberty, MO 64068-3388 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1366771446 | Daniel E. Cox, M.d., LLC | Surgery | 1400 Hwy. 61 South, Suite 240, Festus, MO 63028 | 2009-12-18 |
| 1659526689 | Vp Medical, LLC | Surgery | 3308 W Edgewood Dr Ste D, Jefferson City, MO 65109-6891 | 2008-11-18 |
| 1508053026 | Noks Corporation PC | Surgery | 1147b E Gannon Dr, Festus, MO 63028-2611 | 2007-09-28 |
| 1275753923 | George Fraklin Rendleman Jr. | Surgery | 12723 Topping Acres, St Louis, MO 63131 | 2007-04-26 |
| 1346467420 | Marcus A. Barber | Surgery | 2750 Clay Edwards Dr Ste 304, Kansas City, MO 64116-3256 | 2007-04-19 |
| 1841367380 | Kent James Blanke | Surgery | 1408 Crown Drive, Kirksville, MO 63501 | 2006-11-29 |
| 1801974787 | Edwin Tutt Long | Surgery | 4550 Warwick Blvd, Ste # 1209, Kansas City, MO 64111-7725 | 2006-11-01 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.