Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Jeremy Gaylon Waldie, PA-C
Physician Assistant in Salem, OR · enumerated 2009.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1043546534
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Registry record
Entity type Individual (Type 1)
Name Mr. Jeremy Gaylon Waldie
Credential PA-C
Sex Male
Practice address 374 Owens St Se, Salem, OR, 97302
Phone (503) 399-1400
Fax (503) 399-1406
Enumeration date Oct 19, 2009
Last updated in NPPES Feb 13, 2020
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA165500 (OR) Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60120298 (WA) Secondary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50071199 | Medicaid | OR | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Jeremy Waldie?
The National Provider Identifier (NPI) for Jeremy Waldie is 1043546534, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jeremy Waldie practice?
The practice location on file with NPPES is in Salem, OR. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-13.