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ERIC R WAHLSTEDT
NPI 1346099835
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 16, 2024PECOS Enrolled
1025 WALNUT ST STE 1100, PHILADELPHIA, PA 19107(215) 955-1416 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric R Wahlstedt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC R WAHLSTEDT (NPI 1346099835) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1346099835
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERIC R WAHLSTEDT
Location Address1025 WALNUT ST STE 1100Philadelphia, PA 19107-5001
Mailing Address1025 Walnut St Ste 1100Philadelphia, PA 19107-5001 · (215) 955-1416 · Fax (215) 923-1884
Phone(215) 955-1416
Sole ProprietorYes
Enumeration DateMay 16, 2024
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1346099835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1025 WALNUT ST STE 1100, Philadelphia, PA 19107
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Secondary Practice Location 1

Location 1528 Ridgewood RdLouisville, KY 40207-1325 · Phone (502) 759-4143

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric R Wahlstedt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYRUS H RAZAVI
Student in an Organized Health Care Education/Training Program
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416
DR. CATHERINE JOAN IMPLICITO MD
Student in an Organized Health Care Education/Training Program
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416
ADAM C SCHNEIDER MD
Student in an Organized Health Care Education/Training Program
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416
DANIEL INOUYE MD
Student in an Organized Health Care Education/Training Program
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416
AFZAL SHAKIR
Urology
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416
DR. MICHAEL ANDREW PANAGOS MD
Urology
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416
MR. GUSTAVO ENRIQUE CAPO B.S.
Student in an Organized Health Care Education/Training Program
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416
MATTHEW BRADFORD BUCK
Student in an Organized Health Care Education/Training Program
1025 WALNUT ST STE 1100
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Wahlstedt's NPI number?

The NPI number for Eric Wahlstedt is 1346099835. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Eric Wahlstedt located?

Eric Wahlstedt practices at 1025 Walnut St Ste 1100, Philadelphia, PA 19107. The listed phone number is (215) 955-1416.

What is Eric Wahlstedt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eric Wahlstedt enrolled in Medicare?

Yes. Eric Wahlstedt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Wahlstedt was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.