SELBY GENERAL HOSPITAL, INC. (NPI# 1285687020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285687020 |
| Entity Type | Organization |
| Organization Name | SELBY GENERAL HOSPITAL, INC. |
| Other Organization Name | WATERS-THOMAS MEDICAL CLINIC |
| Practice Address |
151 Anderson Ln Waterford OH 45786-5312 |
| Mailing Address |
1106 Colegate Dr Marietta OH 45750-1323 |
| Practice Telephone | 7409842332 |
| Practice Fax Number | 7409844435 |
| Mailing Telephone | 7405682000 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | THOMAS KELLY (CFO) |
| Authorized Official Telephone | 7405682000 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Waters-Thomas Medical Clinic | Doing Business As Name - Organization |
| Street Address |
151 ANDERSON LN |
| City | WATERFORD |
| State | OH |
| Zip Code | 45786-5312 |
| 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 |
| 1043215338 | Gary G Waters | Emergency Medicine | 151 Anderson Ln, Waterford, OH 45786-5312 | 2005-06-15 |
| 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 Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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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| 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.