Provider Demographics
NPI:1205830270
Name:WALDMAN, STEVEN DEE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DEE
Last Name:WALDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1628
Mailing Address - Country:US
Mailing Address - Phone:913-491-3999
Mailing Address - Fax:913-754-2166
Practice Address - Street 1:4801 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1628
Practice Address - Country:US
Practice Address - Phone:913-491-3999
Practice Address - Fax:913-491-2166
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0418488207LP2900X
MO35931207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100195280AMedicaid
MO200598332Medicaid
KS052605Medicare PIN
MOJ354534Medicare PIN
KS100195280AMedicaid
MO200598332Medicaid
MOJ364534Medicare PIN