DR. JOHN S WATERS (NPI# 1033176656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033176656 |
| Entity Type | Individual |
| Full Name | DR. JOHN S WATERS |
| Credential | M.D. |
| Practice Address |
2300 N Edward St Ste 2400 Decatur IL 62526-4163 |
| Mailing Address |
2300 N Edward St Gsbll Decatur IL 62526-4163 |
| Practice Telephone | 2178762400 |
| Practice Fax Number | 2178762405 |
| Mailing Telephone | 2178762857 |
| Mailing Fax Number | 2178762874 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036107181 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966889 | John Francis Waters | In Home Supportive Care | 2153 Niagara Dr, Lakewood, OH 44107-5434 | 2020-09-11 |
| 1932410115 | John Michael Waters | Dentist | 512 Reed Rd, Anderson, SC 29621-2058 | 2010-06-23 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1992876619 | John Stuart Waters | Dentist | 420 E Church St, Sandwich, IL 60548-2206 | 2006-11-13 |
| 1861017196 | John S Waters | Social Worker | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-06-12 |
| 1639676208 | John Mitchell Waters | Counselor | 7209 Hamilton Acres Cir, Chattanooga, TN 37421-8623 | 2018-04-10 |
| 1710205208 | John Keene Waters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd Ste 540, Plano, TX 75093-5339 | 2010-05-10 |
| 1396874939 | John M Waters | Social Worker | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2007-03-02 |
| 1124120803 | John Waters | Psychiatry & Neurology | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-09-02 |
| 1245340041 | John Roland Waters | Pharmacist | 10 N Beachview Dr, Jekyll Island, GA 31527-0816 | 2006-08-30 |
| Street Address |
2300 N EDWARD ST STE 2400 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829886 | Tansel Turgut | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2005-05-24 |
| 1215538004 | Jordanna Ruth Wilton | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2020-11-06 |
| 1366054116 | Stephanie Nicole Blaha | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-08-21 |
| 1861028193 | Angelina Marie Thomas | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-03-18 |
| 1114550944 | Chelsey M Clark | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-02-20 |
| 1942857735 | Jessica Oranika | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-26 |
| 1003463225 | Jason Grauer | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2019-08-22 |
| 1780239434 | Maggie Kaye Matthews | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-08 |
| 1871052522 | Michelle Caroline Kronmiller | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-03-12 |
| 1013474097 | Brittney L Jeffery | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829886 | Tansel Turgut | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2005-05-24 |
| 1679198659 | Excel Heart and Vascular Pllc | Internal Medicine | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2020-06-15 |
| 1811385552 | Apple Cardiac Care | Internal Medicine | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2015-01-05 |
| 1386888444 | Phuong-khanh Jessica Farley | Internal Medicine | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2009-04-20 |
| 1902947542 | Decatur General Hospital | Internal Medicine | 1121 Somerville Rd Se, Decatur, AL 35601-3256 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984514 | Cil Care of Il II, LLC | Internal Medicine | 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 | 2019-04-04 |
| 1467950733 | Coordinated Health of Il, LLC | Internal Medicine | 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
| 1992041644 | Daniel Brent Nelson | Internal Medicine | 3810 Farhills Dr, Champaign, IL 61822-9321 | 2012-12-28 |
| 1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
| 1841583952 | C Dean Katsamakis Do Facc Sc | Internal Medicine | 240 Waukegan Rd, Glenview, IL 60025-5159 | 2011-05-23 |
| 1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
| 1841484813 | Elsayed Mohamed | Internal Medicine | 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 | 2007-08-31 |
| 1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.