IndividualActive
Gary Edelman, MD
NPI 1417977430 · Surgery Physician · Waupaca, WI
Gary Edelman, MD is a Surgery Physician provider in Waupaca, WI (NPI 1417977430).
Provider details
- NPI number
- 1417977430
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 30386 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
902 Riverside Dr
Waupaca, WI 54981-1992
Phone: (715) 258-1160
Fax: (715) 256-3079
Street-level locationGet directions
Mailing address
710 Riverside Dr
Waupaca, WI 54981-1941
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2012-01-26
Frequently asked questions
- What is Gary Edelman's NPI number?
- Gary Edelman's National Provider Identifier (NPI) is 1417977430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Edelman's specialty?
- Gary Edelman is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Gary Edelman located?
- Gary Edelman's practice location on file with NPPES is 902 Riverside Dr, Waupaca, WI 54981-1992.
- What is Gary Edelman's phone number?
- The practice phone number listed in the NPPES registry for Gary Edelman is (715) 258-1160.
- Is Gary Edelman's NPI active?
- Yes — Gary Edelman's NPI (1417977430) is active in the NPPES registry as of the last update on 2012-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.