DR. EDWARD ROBERT WASSMAN JR. M.D.
NPI 1396966735
Medical Genetics - Clinical Molecular Genetics in Park City, UT

Q: What is Edward Wassman's NPI number?

The NPI number for Edward Wassman is 1396966735. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Edward Wassman's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Molecular Genetics, with taxonomy code 207SG0203X.

Q: Is Edward Wassman enrolled in Medicare?

No. Edward Wassman has opted out of Medicare through September 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Edward Wassman was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 02, 2007Opted out of Medicare · through Sep 8, 2026

7482 PINEBROOK RD, PARK CITY, UT 84098(562) 500-5197 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Edward Robert Wassman Jr. M.d. NPPES

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

DR. EDWARD ROBERT WASSMAN JR. M.D. (NPI 1396966735) is an individual clinical molecular genetics provider in Park City, Utah, licensed in California (DRN2) and active in the NPI registry since May 2007. He has opted out of Medicare through September 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396966735

Entity TypeIndividualMale

Primary Taxonomy207SG0203X

Provider Legal NameDR. EDWARD ROBERT WASSMAN JR.Credential: M.D.

Location Address7482 PINEBROOK RDPark City, UT 84098-5346

Mailing Address7482 Pinebrook RdPark City, UT 84098-5346 · (562) 500-5197

Phone(562) 500-5197

Sole ProprietorYes

Enumeration DateMay 2, 2007

Last NPPES UpdateAugust 10, 2022

NPPES CertifiedAugust 10, 2022

✔ NPI 1396966735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyMedical Genetics · Clinical Molecular GeneticsAllopathic & Osteopathic Physicians

Taxonomy Code207SG0203X

License✔ Licensed in CA · DRN2

Definition

A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.

Also ListedMedical Genetics · Clinical CytogeneticsTaxonomy 207SC0300X · License 135000 (NY), DRNM10 (CA)

Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License G040633 (CA), 41719 (CT), ME80666 (FL)

Also ListedPediatricsTaxonomy 208000000X · License 30741 (AZ)

7482 PINEBROOK RD, Park City, UT 84098

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edward Robert Wassman Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 8, 2022 through September 8, 2026.

Opt-Out Effective DateSeptember 8, 2022

Opt-Out In Effect ThroughSeptember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Edward Wassman's NPI number?

The NPI number for Edward Wassman is 1396966735. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Edward Wassman located?

Edward Wassman practices at 7482 Pinebrook Rd, Park City, UT 84098. The listed phone number is (562) 500-5197.

What is Edward Wassman's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Molecular Genetics, with taxonomy code 207SG0203X.

Is Edward Wassman enrolled in Medicare?

No. Edward Wassman has opted out of Medicare through September 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edward Wassman was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.