DR. CHRISTANNAH M WATERS (NPI# 1104050681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104050681 |
| Entity Type | Individual |
| Full Name | DR. CHRISTANNAH M WATERS |
| Other Name | CHRISTANNAH M DOMIN |
| Credential | M.D. |
| Practice Address |
62 Brown St Suite 405 Haverhill MA 01830-6778 |
| Practice Telephone | 9789127450 |
| Practice Fax Number | 9789127420 |
| Mailing Telephone | 9789127450 |
| Mailing Fax Number | 9789127420 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 239493 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110083619A | 05 | |
| MA | TUFTS | 747307 | 01 |
| AETNA | 9805333 | 01 | |
| CIGNA | 8627124 | 01 | |
| MA | HPHC | AA148729 | 01 |
| Street Address |
62 BROWN ST SUITE 405 |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830-6778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150505 | Lydia Zuser | Internal Medicine | 62 Brown St, Suite # 304, Haverhill, MA 01830-6778 | 2005-08-10 |
| 1326678863 | Danielle Marie Meuse | Social Worker | 62 Brown St, Haverhill, MA 01830-6778 | 2020-01-23 |
| 1851935910 | Haverhill Family Office, LLC | Family Medicine | 62 Brown St, Haverhill, MA 01830-6778 | 2019-11-01 |
| 1033514633 | David Oswalt | Hearing Instrument Specialist | 62 Brown St, Suite 204, Haverhill, MA 01830-6778 | 2014-10-27 |
| 1003228842 | Haverhill Family Practice LLC | Family Medicine | 62 Brown St, Suite 404, Haverhill, MA 01830-6778 | 2014-05-28 |
| 1902226780 | Haverhill Gi Inc | Internal Medicine | 62 Brown St, Suite 503, Haverhill, MA 01830-6778 | 2014-04-21 |
| 1831465525 | Mitchell Stein | Hearing Instrument Specialist | 62 Brown St, Suite 204, Haverhill, MA 01830-6778 | 2012-03-27 |
| 1548531551 | Michael Kutka, Md, LLC | Plastic Surgery | 62 Brown St, Suite 502b, Haverhill, MA 01830-6778 | 2012-01-23 |
| 1326378241 | Pistone Podiatric Foot Center PC | Podiatrist | 62 Brown St, Haverhill, MA 01830-6778 | 2009-12-29 |
| 1992938781 | Cheryl Doucette, Anp-bc, Pmhcns-bc, LLC | Clinical Nurse Specialist | 62 Brown St, Suite 505, Haverhill, MA 01830-6778 | 2009-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992780241 | Rebecca Lynn Boyer | Obstetrics & Gynecology | 2 Water Street Central Plaza, Womens Health Care, Haverhill, MA 01830-6229 | 2005-12-09 |
| 1790782852 | Mary Baker-berzansky | Obstetrics & Gynecology | 2 Water St, Central Plaza, Haverhill, MA 01830-6223 | 2005-07-05 |
| 1720302235 | Andrea Rollins | Obstetrics & Gynecology | 2 Water St, Haverhill, MA 01830-6229 | 2010-03-26 |
| 1407870389 | Mary C. Chang | Obstetrics & Gynecology | 2 Water St, Central Plaza, Haverhill, MA 01830-6229 | 2006-07-26 |
| 1700884517 | Celeste Royce | Obstetrics & Gynecology | 2 Water St, Central Plaza, Haverhill, MA 01830-6223 | 2005-07-14 |
| 1740288539 | Susan Newhouse | Obstetrics & Gynecology | 2 Water St, Central Plaza, Haverhill, MA 01830-6223 | 2005-07-14 |
| 1639177306 | William Driscoll IIi | Obstetrics & Gynecology | 2 Water St, Central Plaza, Haverhill, MA 01830-6223 | 2005-07-07 |
| 1295732287 | Steven Mollov | Obstetrics & Gynecology | 2 Water St, Central Plaza, Haverhill, MA 01830-6223 | 2005-07-05 |
| 1295732279 | Jane Kerr-fernandez | Obstetrics & Gynecology | 2 Water St, Central Plaza, Haverhill, MA 01830-6223 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205037 | The Practice Ob/gyn Steward, PC | Obstetrics & Gynecology | 275 Varnum Ave Ste 103, Lowell, MA 01854-2109 | 2020-08-12 |
| 1558905570 | Alliance Ob Gyn LLC | Obstetrics & Gynecology | 380 Merrimack St Ste 2a, Methuen, MA 01844-5871 | 2019-11-01 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1164909925 | Estefania D. Rivera Mudafort | Obstetrics & Gynecology | 850 Harrison Ave Fl 5, Boston, MA 02118-4001 | 2018-07-25 |
| 1376035881 | Erika R Wallace | Obstetrics & Gynecology | 800 Washington Street #22, Obgyn Residency Office, Boston, MA 02111 | 2018-05-31 |
| 1649760851 | Andrea Jaresova | Obstetrics & Gynecology | 330 Brookline Ave # Shapiro8, Boston, MA 02215-5491 | 2018-05-14 |
| 1063920767 | Jean Wilner Noel | Obstetrics & Gynecology | 11 Nevins St Ste 302, Boston, MA 02135-3514 | 2018-01-16 |
| 1740705243 | Ronan Paul Sugrue | Obstetrics & Gynecology | 75 Francis Street Brigham and Womens' Hospital, Department of Obstetrics and Gynecology, Boston, MA 02115 | 2017-08-07 |
| 1386173144 | Matthew Shear | Obstetrics & Gynecology | 330 Brookline Ave # 3, Boston, MA 02215-5400 | 2017-06-06 |
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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.