Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark A Waldman, MD

Individual provider Dermatology Physician · NPI 1811990096

Dr. Mark A Waldman, MD is a Dermatology in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 1999, 27 years ago. Practices with Vitalskin Medical Group Il PLLC, a 56-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
27
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2005
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

310 E Broadway Ste 200
Louisville, KY 40202-1745
Phone: (502) 585-5249
Fax: (502) 585-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35880 (KY)

Record details

NPI number1811990096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESAugust 17, 2015

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Vitalskin Medical Group Il Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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