MR. THOMAS W WATERS (NPI# 1225014210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225014210 |
| Entity Type | Individual |
| Full Name | MR. THOMAS W WATERS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
5911 Laurel Ridge Dr Newburgh IN 47630-8067 |
| Practice Telephone | 8124907794 |
| Mailing Telephone | 8124907794 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427161892 | Thomas Eric Waters | Specialist/Technologist | 601 F St Nw, Washington, DC 20004-1605 | 2006-08-17 |
| 1093743536 | Thomas Patrick Waters IIi | Chiropractor | 3229 Rankin St, Dallas, TX 75205-1418 | 2006-06-30 |
| 1619924727 | Thomas Andrew Waters | Emergency Medicine | 9500 Euclid Ave # E-19, Cleveland, OH 44195-0001 | 2006-05-27 |
| 1831537810 | Thomas S Waters | Family Medicine | 2501 Pierce St, Sioux City, IA 51104-3725 | 2013-06-12 |
| 1205199262 | Thomas M Waters | Pharmacist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2012-06-24 |
| Street Address |
5911 LAUREL RIDGE DR |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689785156 | Phyllis Young | Physician Assistant | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2006-08-31 |
| 1225042344 | Julie C Ormiston | Physician Assistant | 308 Fullerton Ave, Newburgh, NY 12550-3722 | 2006-07-27 |
| 1649894338 | Alexis Nicole Manz | Physician Assistant | 1200 Route 300, Newburgh, NY 12550-5003 | 2020-05-29 |
| 1669019675 | Kayley Mae Spinella | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2019-12-09 |
| 1740762673 | Elizabeth Conkling | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2018-09-06 |
| 1083120273 | Brianna Miller | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2017-12-26 |
| 1457870289 | Stephanie Marie Kramer | Physician Assistant | 200 Stony Brook Ct, Newburgh, NY 12550 | 2017-09-13 |
| 1487182283 | Ethan Levine | Physician Assistant | 70 Dubois St, Newburgh, NY 12550-4851 | 2017-05-24 |
| 1497202964 | Lindsey Alt | Physician Assistant | 147 Lake St, Newburgh, NY 12550 | 2016-09-01 |
| 1962888248 | Kirstin A Tarquini | Physician Assistant | 147 Lake St, Newburgh, NY 12550-5263 | 2015-08-10 |
| Find all providers in NEWBURGH | ||||
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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.