GARY G WATERS


Address: 151 Anderson Ln, Waterford, OH 45786-5312
Phone: 7409842332

GARY G WATERS (NPI# 1043215338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043215338
Entity Type Individual
Full Name GARY G WATERS
Credential DO
Practice Address 151 Anderson Ln
Waterford
OH 45786-5312
Mailing Address Po Box 449
Marietta
OH 45750-0449
Practice Telephone 7409842332
Practice Fax Number 7409844435
Mailing Telephone 7403744500
Mailing Fax Number 7403745887
Enumeration Date 2005-06-15
Last Update Date 2012-02-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 34004554 OH Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 34004554 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM 000000557176 01
OH 0703939 05
WV 0042460000 05
OH ANTHEM 000000699794 01
OH RRMCR P00139412 01

Other Providers GARY WATERS

NPI Name Taxonomy Address Enumeration
1548519291 Gary Waters Counselor 815 Eureka Dr, Friday Harbor, WA 98250-6910 2012-09-07
1154518918 Gary Thomas Waters Contractor 9719 Dean Acre Ct, Orlando, FL 32825-6557 2007-09-26
1992868863 Gary Douglas Waters Speech-Language Pathologist 2424 Double Churches Rd, Columbus, GA 31909-2741 2006-12-19
1699794602 Gary Miles Waters Ophthalmology 1360 E Herndon Avenue, Suite 301, Fresno, CA 93720-3326 2006-07-19
1144260860 Gary E Waters Obstetrics & Gynecology 1313 Fish Hatchery Rd, Madison, WI 53715-1911 2006-06-08

Office Location

Street Address 151 ANDERSON LN
City WATERFORD
State OH
Zip Code 45786-5312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023013430 Vickie Lea Deleruyelle Nurse Practitioner 151 Anderson Ln, Waterford, OH 45786-5312 2005-06-14
1851797377 Patricia Davidson Nurse Practitioner 151 Anderson Ln, Waterford, OH 45786-5312 2014-11-11
1780086538 Rachel L March Nurse Practitioner 151 Anderson Ln, Waterford, OH 45786-5312 2014-09-24
1043536261 Jeremy Ward Waters Internal Medicine 151 Anderson Ln, Waterford, OH 45786-5312 2010-04-13
1285687020 Selby General Hospital, Inc. Family Medicine 151 Anderson Ln, Waterford, OH 45786-5312 2006-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043777113 Joslynn Trail Specialist/Technologist 19701 Oh-339, Waterford, OH 45786 2019-02-26
1467691352 Wolf Creek Local School District Local Education Agency (LEA) 330 Main Street, Waterford, OH 45786-0067 2009-02-17
1164737987 Darla J Schafer Licensed Practical Nurse 16372 State Route 676, Waterford, OH 45786-5113 2010-08-17
1356881015 Hayli Hanson Home Health Aide 26 Maple Cir, Waterford, OH 45786-5321 2017-02-28
1346207016 Lisa Guiler Licensed Practical Nurse 1438 Milner Rd, Waterford, OH 45786-6014 2006-04-27
1124346077 Marie Ellen Russell Licensed Practical Nurse 165 Sunset Ln, Waterford, OH 45786-6337 2010-05-16

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245847342 Nuha Bakkal Family Medicine 1422 Mill Pond Dr, Waterford, MI 48327-3088 2020-09-23
1063071017 Better Life- Better Health Pllc Family Medicine 728 Broad Street Ext # B, Waterford, CT 06385-1345 2019-06-12
1417452996 Kristin Randa Family Medicine 7010 N Tichigan Rd, Waterford, WI 53185-1760 2018-03-27
1588193221 Kimberley Lynn Spencer-ion Family Medicine 2536 N Williams Lake Rd, Waterford, MI 48327-1054 2017-06-07
1760864508 Sadeer Peter Family Medicine 279 Summit Dr Ste 107, Waterford, MI 48328-3364 2015-06-28
1720330392 Gina Gora M D Pllc Family Medicine 3347 Wormer Dr, Waterford, MI 48329-2569 2012-10-08
1053647131 Motown Residential Physician Pllc Family Medicine 852 Cedargate Ct, Waterford, MI 48328-2606 2009-10-26
1528290681 Anne Bingham Pierson, M.d. Family Medicine 215 Parkway North, Sonalysts, Inc., Waterford, CT 06385 2009-08-21
1942467659 Regional Health Services, Inc. Family Medicine 991 Route 19 N, Suite B, Waterford, PA 16441-9739 2008-05-20
1467579011 Micalyn D Baney Family Medicine 218 E 3rd St, Waterford, PA 16441-9753 2007-03-26
Find all providers in WATERFORD

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City WATERFORD
Zip Code 45786

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Dataset Information

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.

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