{"npi":"1821053653","type":"NPI-1","status":"active","name":{"display":"David Wazer M.D","other":[],"first":"DAVID","last":"WAZER","middle":"E","credential":"M.D"},"specialty":{"primary_taxonomy":"2085R0001X","primary_taxonomy_description":"Radiation Oncology Physician","slug":"radiation-oncology-physician","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":false,"state":"MA","license":"00-59408"},{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":true,"state":"RI","license":"MD09674"}]},"addresses":[{"purpose":"LOCATION","street_1":"593 EDDY ST","city":"PROVIDENCE","state":"RI","postal_code":"029034923","country_code":"US","street_2":"DEPARTMENT OF RADIATION ONCOLOGY","phone":"4014448311","fax":"4014445335"},{"purpose":"MAILING","street_1":"593 EDDY ST","city":"PROVIDENCE","state":"RI","postal_code":"029034923","country_code":"US","street_2":"DEPARTMENT OF RADIATION ONCOLOGY","phone":"4014448311","fax":"4014445335"}],"license":{"state":"RI","number":"MD09674"},"identifiers":[{"type_code":"01","label":"Other","value":"4804-8","state":"RI","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"7006674","state":"RI","issuer":null},{"type_code":"01","label":"Other","value":"709180","state":"MA","issuer":"TUFTS HEALTH PLAN"},{"type_code":"01","label":"Other","value":"2400030","state":"RI","issuer":"UNITED HEALTHCARE"},{"type_code":"01","label":"Other","value":"P00762784","state":"RI","issuer":"RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI"},{"type_code":"05","label":"Medicaid","value":"3032477","state":"MA","issuer":null},{"type_code":"01","label":"Other","value":"0190162","state":"RI","issuer":"CIGNA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050405001044","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MA","pac_id":"3072580570"},{"enrlmt_id":"I20070716000589","type_code":"14-92","type_desc":"PRACTITIONER - RADIATION ONCOLOGY","state":"RI","pac_id":"3072580570"}]},"enumeration_date":"2006-04-17","last_updated":"2024-04-19","_meta":{"source":"NPPES","snapshot_date":"2024-04-19","doc_url":"https://findmynpi.com/api"}}