DR. HARRIS JOHN WATERS (NPI# 1124015896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124015896 |
| Entity Type | Individual |
| Full Name | DR. HARRIS JOHN WATERS |
| Credential | M.D. |
| Practice Address |
450 Welch St Silverton OR 97381-1934 |
| Practice Telephone | 5038735310 |
| Practice Fax Number | 5038735315 |
| Mailing Telephone | 5038735310 |
| Mailing Fax Number | 5038735315 |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2010-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD15831 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 082755 | 05 | |
| OR | MEDICARE PTIN | 109896 | 01 |
| Street Address |
450 WELCH ST |
| City | SILVERTON |
| State | OR |
| Zip Code | 97381-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851655690 | Silverton Health | Surgery | 450 Welch St, Silverton, OR 97381 | 2012-06-26 |
| 1104993286 | Silverton Surgical,llc | Specialist | 450 Welch St, Silverton, OR 97381-1934 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471729 | Christopher Vance Cooper | Counselor | 302 N Water St, Silverton, OR 97381 | 2016-03-30 |
| 1528426558 | Jennifer Winslow | Dentist | 411 N Water St, Silverton, OR 97381 | 2016-02-04 |
| 1487993366 | Darcey Kirkwood | Counselor | 104 N 1st St., Ste 12, Silverton, OR 97381 | 2013-02-12 |
| 1396001517 | Jennifer Rose Stevens | Nurse Practitioner | 347 Fairview Street, Silverton, OR 97381 | 2012-04-03 |
| 1992093819 | Lisa Jane Malmquist | Advanced Practice Midwife | 406 Welch Street, Silverton, OR 97381 | 2011-07-12 |
| 1588828842 | Kendall T Pyper | Dentist | 214 Oak St, Silverton, OR 97381 | 2008-07-16 |
| 1043407331 | Assisted Living Concepts Inc | Assisted Living Facility | 930 Oak Street, Silverton, OR 97381 | 2007-10-01 |
| 1447457460 | Sharon Louise Purtymun | Massage Therapist | 602 Front St., Silverton, OR 97381 | 2007-07-02 |
| 1255470076 | Olwyn K Davies Md PC | General Practice | 410 Welch Street, Silverton, OR 97381 | 2007-02-06 |
| 1598771131 | Mark Calvin Rowley | Obstetrics & Gynecology | 607 Welch Street, Silverton, OR 97381 | 2006-08-01 |
| Find all providers in zip 97381 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841375789 | Silverton Hospital | Specialist | 240 Phelps St, Silverton, OR 97381-1927 | 2006-10-26 |
| 1225025992 | James Patrick Nealon | Specialist | 333 Fairview St, Silverton, OR 97381-1916 | 2005-09-28 |
| 1407396799 | Silverton Health | Specialist | 342 Fairview St, Silverton, OR 97381-1917 | 2017-03-06 |
| 1932446556 | Hazel Ann Hicklin | Specialist | 602 Front St, Suite 5b, Silverton, OR 97381-9710 | 2013-01-16 |
| 1104993286 | Silverton Surgical,llc | Specialist | 450 Welch St, Silverton, OR 97381-1934 | 2006-11-30 |
| 1093828006 | Silverton Health | Specialist | 452 Welch St, Silverton, OR 97381 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1922629328 | Yahsolait Rose | Specialist | 3575 Donald St Ste 170, Eugene, OR 97405-4783 | 2020-04-27 |
| 1225658560 | Leslie Ryan | Specialist | 377 Laclair St, Coos Bay, OR 97420-4709 | 2020-04-16 |
| 1780225474 | Katie Jane Clark | Specialist | 44 Industrial Way Ste D, Lebanon, OR 97355-4364 | 2019-10-03 |
| 1639727795 | Christina Bellmore | Specialist | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2019-08-30 |
| 1740841436 | Lacey Nicole Keeney | Specialist | 1623 Oak St, Eugene, OR 97401-4022 | 2019-06-24 |
| 1700347804 | Audrey Jones | Specialist | 16055 Boones Ferry Rd, Lake Oswego, OR 97035-4364 | 2019-03-29 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
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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.