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Deactivated NPI 1578754743 Deactivated / Inactive NPI Male Practitioner

Dr. Maxwell Elmer Waldron , DO

General Practice • Federal Way, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Maxwell Waldron has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2007
NPI Deactivation Date April 12, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Maxwell Waldron, DO was a registered General Practice practicing in Federal Way, WA. Throughout an active medical career spanning 16 years, Dr. Waldron provided care at the practice location at 2101 SO 324 ST until profile deactivation on 2023-04-12.

Practice Location & Contact Primary Location

Practice Address

2101 So 324 St
Unit 122

Federal Way, WA 98003

Telephone 2539250672

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Federal Way, WA (423 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA OP00000459

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2023

Record deactivated on April 12, 2023

NPI Profile Active August 05, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 05, 2007

Registered at 2101 SO 324 ST, UNIT 122, FEDERAL WAY, WA 98003 (Tel: 2539250672)

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Updated Business Mailing Address August 05, 2007

Registered at 2101 SO 324 ST, UNIT 122, FEDERAL WAY, WA 98003 (Tel: 2539250672)

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Provider Name / Credentials Updated August 05, 2007

Recorded as MAXWELL WALDRON, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2007

General Practice (License #OP00000459 in WA)

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Initial NPI Registration & Enumeration August 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578754743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: August 05, 2007
Deactivation Date: April 12, 2023

Mailing Address

2101 So 324 St, Unit 122

Federal Way, WA 98003

Phone: 2539250672

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.