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

Mr. Robert Evan Waxman, PA

Individual provider Physician Assistant · NPI 1043099088

Mr. Robert Evan Waxman, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2024, 2 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
2
Licensed in
NH
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-5000
Fax: (603) 640-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 716 Stevens Avenue, Portland, ME 04103 — (207) 221-4529

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3039 (NH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1043099088
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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