Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT EVAN WAXMAN, PA
DeactivatedMR. ROBERT EVAN WAXMAN, PA is a Physician Assistant healthcare provider located in LEBANON, New Hampshire. NPI 1043099088 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · LEBANON, NH
This NPI has been deactivated.
The record was deactivated on May 1, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1043099088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2023 (0.59016393442623 yrs)
- Last Updated
- Dec 16, 2025
- Deactivated
- May 1, 2024
- License
-
3039 (NH)
Practice Information
- Address
-
1 MEDICAL CENTER DRLEBANON, NH, 037560001Browse NH providers · Browse ZIP 03756
- Phone
- 6036505000
- Fax
- 6036401228
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LEBANON, NH
| Name | Credential | NPI |
|---|---|---|
| OSCAR KEITH GIBBS | PA-C | 1992799951 |
| KATHARINE RILEY | PA | 1740277276 |
| MRS. ANGELA JEAN WELCH | PA-C | 1679564801 |
| MR. REYNALDO DANTES DIZON | PA | 1538146766 |
| REBECCA A. VAN DOLAH | MPAS | 1700842721 |
| MR. T. LINDSAY D'ANNA | PA | 1912952516 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.