Jack Waxman is a Santa Rosa, California based male rheumatologist who is specialized in Rheumatology. Active license number of Jack Waxman for Rheumatology is G23398 in California. Jack Waxman treat joint disease similar to orthopedists but do not perform surgeries. He diagnose and treat diseases of joints, muscle, bones and tendons which includes arthritis, back pain, muscle strains, common athletic injuries and 'collagen' diseases.
Complete Profile:
Jack Waxman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Rheumatology
Credentials:
M.D.
Gender:
Male
Practice Address:
1701 4th St Ste 210, Santa Rosa, California, 95404-3661
Phone:
707-573-6942
Fax:
707-575-6038
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104824994
NPI Enumeration Date:
14 Jul, 2005
NPI Last Update On:
11 Jan, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Waxman are as mentioned below.
License Number
Specialization
State
Status
G23398
Rheumatologist
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack Waxman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00G233980
Other
California
BLUE SHIELD OF CALIFORNIA
660002485
Other
California
RAILROAD MEDICARE
00G233980
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3536 Mendocino Ave, Ste 200 Santa Rosa, California
Zip:
95403-3634
Phone Number:
707-525-6485
Fax Number:
707-575-6038
Patients can reach Jack Waxman at 1701 4th St Ste 210, Santa Rosa, California or can call to book an appointment on 707-573-6942. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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