DR. MELISSA MARIE WATTERS (NPI# 1205966959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205966959 |
| Entity Type | Individual |
| Full Name | DR. MELISSA MARIE WATTERS |
| Other Name | MELISSA MARIE LARSEN |
| Credential | M.D. |
| Practice Address |
1010 W 2nd St Bloomington IN 47403-2217 |
| Practice Telephone | 8123343955 |
| Mailing Telephone | 8123343955 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01063285A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295015337 | Melissa Ann Watters | Physical Therapy Assistant | 1800 N Wabash Rd, Marion, IN 46952-1300 | 2011-08-21 |
| Street Address |
1010 W 2ND ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427033778 | Lisa Marie Weiler | Specialist | 1010 W 2nd St, Bloomington, IN 47403-2217 | 2005-12-09 |
| 1770946139 | Kathleen E Jones | Obstetrics & Gynecology | 1010 W 2nd St, Bloomington, IN 47403 | 2016-04-03 |
| 1376923235 | Danielle Benedek | Nurse Practitioner | 1010 W 2nd St, Bloomington, IN 47403-2217 | 2015-06-05 |
| 1679730527 | Elizabeth Thies Mcdaniel | Advanced Practice Midwife | 1010 W 2nd St, Bloomington, IN 47403-2217 | 2008-05-19 |
| 1043356520 | Southern Indiana Physicians for Women | Specialist | 1010 W 2nd St, Bloomington, IN 47403-2217 | 2007-01-30 |
| 1568491355 | Nathalie Castillo | Obstetrics & Gynecology | 1010 W 2nd St, Bloomington, IN 47403-2217 | 2006-07-02 |
| 1326007774 | Michael Ryskin | Obstetrics & Gynecology | 1010 W 2nd St, Bloomington, IN 47403-2217 | 2006-03-22 |
| 1790760536 | Michael Jay Stowell | Specialist | 1010 W 2nd St, Bloomington, IN 47403-2217 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| 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 |
|---|---|---|---|---|
| 1174038822 | Daniel A Nord Md, Obstetrics and Gynecology | Obstetrics & Gynecology | 1505 Eastland Dr Ste 230, Bloomington, IL 61701-7906 | 2017-12-04 |
| 1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| 1518237577 | Whole Woman's Health of The Twin Cities | Obstetrics & Gynecology | 8053 E Bloomington Fwy Ste 450, Bloomington, MN 55420-1031 | 2012-01-09 |
| 1639468788 | Premier Medical Group, LLC | Obstetrics & Gynecology | 1505 Eastland Dr Ste 500, Bloomington, IL 61701-7905 | 2011-03-29 |
| 1780916403 | Joseph Ignatius Hamel Sr. | Obstetrics & Gynecology | 8006 Pennsylvania Rd, Bloomington, MN 55438-1135 | 2010-02-04 |
| 1962688895 | Brian William Cook | Obstetrics & Gynecology | 2920 Mcintire Drive, Suite 250, Bloomington, IN 47403 | 2008-01-10 |
| 1982780656 | Wendy K. Corning | Obstetrics & Gynecology | 383 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8574 | 2006-10-27 |
| 1841399540 | Elvia A Greathouse | Obstetrics & Gynecology | 415 W 1st St, Bloomington, IN 47403-2403 | 2006-09-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.