Individual
PAUL LOUIS WASSERMAN
Active
Individual
PAUL LOUIS WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2004-00278
NC
2085B0100X
Body Imaging Physician
OS1113
FL
2085R0202X
Diagnostic Radiology Physician
2004-00278
NC
2085R0202X
Diagnostic Radiology Physician
Primary
OS11113
FL
2085R0204X
Vascular & Interventional Radiology Physician
2004-00278
NC
2085R0204X
Vascular & Interventional Radiology Physician
OS11113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139NM
BCBS
—
01
—
189353
MEDCOST
—
01
—
2038722D
MEDICARE
NC
05
—
3810008229
—
WV
05
—
5901625
—
NC
01
—
7547722
AETNA
—
01
—
805973
PARTNERS
—
01
—
P00367349
RR MEDICARE
—
05
—
Q0027M
—
SC
Enumeration date
06/25/2006
Last updated
09/07/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up