Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Harold Douglas Wackerle, MD

Individual provider Anesthesiology Physician · NPI 1205360260

Dr. Harold Douglas Wackerle, MD is an Anesthesiology in Charlotte, North Carolina. Graduated from George Washington University School of Medicine in 2017, 9 years ago. Practices with Providence Anesthesiology Associates PA, a 220-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Trained at
George Washington University School of Medicine
Licensed in
NC
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866
Phone: (704) 749-5800
Fax: (704) 626-3237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2022-01839 (NC)

Record details

NPI number1205360260
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2017
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Providence Anesthesiology Associates Pa — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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