MR. MICHAEL WATERS (NPI# 1316147457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316147457 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WATERS |
| Credential | IDC |
| Practice Address |
14900 Park Central Road Naval Support Facility Thurmont MD 21788 |
| Mailing Address |
10384 Chamberlin Court East Waldorf MD 20601 |
| Practice Telephone | 3012711460 |
| Mailing Telephone | 3015357900 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447380 | Michael Waters | Internal Medicine | 10 Samuel Dr, Washington, PA 15301-3206 | 2018-11-26 |
| 1629140561 | Michael Farris Waters | Specialist | 240 W Thomas Rd # 403, Phoenix, AZ 85013 | 2006-11-15 |
| 1912948084 | Michael Brandon Waters | Physical Therapist | 247 Oak St Extension, Suite 145, Forest City, NC 28043-3585 | 2006-06-09 |
| 1417915547 | Michael G Waters | Family Medicine | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2006-05-01 |
| 1275596538 | Michael G Waters | Urology | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | 2006-04-08 |
| 1811965908 | Michael L Waters | Family Medicine | 13001 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-3123 | 2006-03-14 |
| 1861469512 | Michael Alan Waters | Specialist | 309 S. Medford Dr., Lufkin, TX 75901-5245 | 2006-03-01 |
| 1316505100 | Michael Derek Waters | Counselor | 1777 Buckman Springs Rd, Campo, CA 91906-2022 | 2019-06-05 |
| 1710540786 | Michael Richard Waters | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2019-04-16 |
| 1962974220 | Michael Waters | Licensed Practical Nurse | 7248 Elmwood Ave, Philadelphia, PA 19142-1533 | 2018-12-27 |
| Street Address |
14900 PARK CENTRAL ROAD NAVAL SUPPORT FACILITY |
| City | THURMONT |
| State | MD |
| Zip Code | 21788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336566728 | Kristin Voigt | Specialist/Technologist | 13719 Moser Rd, Thurmont, MD 21788 | 2014-03-24 |
| 1942514138 | Sarah Marie Raymond | Dentist | 105 E. Main St., Thurmont, MD 21788 | 2010-07-30 |
| 1912197849 | Frederick Jay Dexter | Dentist | 100 South Center St, Catoctin Medical Center, Thurmont, MD 21788 | 2007-07-26 |
| 1407067259 | Michael Bohdan Bozydaj | Military Health Care Provider | 14900 Park Central, Thurmont, MD 21788 | 2007-05-24 |
| 1154411106 | Weis Markets Inc | Pharmacy | 2 Thurmont Blvd, Thurmont, MD 21788 | 2006-10-13 |
| 1811467483 | Adebayo John Thomas | Behavior Technician | 6504 Mountaindale Rd, Thurmont, MD 21788 | 2018-11-27 |
| 1750735924 | Mary Demino | Family Medicine | 52 Water St, Thurmont, MD 21788 | 2016-04-14 |
| 1902970544 | Esther Compher Oney | Physician Assistant | 100 S Center St, Catoctin Medical Group, Thurmont, MD 21788 | 2006-11-17 |
| 1174072227 | Olivia Myers | Social Worker | 15339 Kelbaugh Rd, Thurmont, MD 21788-1128 | 2016-09-30 |
| 1003386962 | Caroline Jones | Speech-Language Pathologist | 7989 Rocky Ridge Rd, Thurmont, MD 21788-1349 | 2018-12-04 |
| Find all providers in zip 21788 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407067259 | Michael Bohdan Bozydaj | Military Health Care Provider | 14900 Park Central, Thurmont, MD 21788 | 2007-05-24 |
| 1851563530 | Albert John Marcucci | Military Health Care Provider | 14900 Park Central Rd, Thurmont, MD 21788-1501 | 2008-04-02 |
| 1033300884 | Christopher Allen Powell | Military Health Care Provider | 14900 Park Central Rd, Thurmont, MD 21788-1501 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143919 | Milton Mcintyre Brown Iv | Military Health Care Provider | 12610 Chanler Ln, Bowie, MD 20715-1302 | 2020-08-07 |
| 1548666415 | Janet Oliva | Military Health Care Provider | 6305 Riverdale Rd, Riverdale, MD 20737-2105 | 2014-11-05 |
| 1740693324 | Benjamin Graves | Military Health Care Provider | 3399 Strauss Ave Bldg 901, Indian Head, MD 20640-5164 | 2014-06-11 |
| 1497009187 | Devin P Sweet | Military Health Care Provider | 5813 Chinquapin Pkwy, 1st Floor, Baltimore, MD 21239-2555 | 2012-11-01 |
| 1083980932 | Ernest Theophilus Quimby Iv | Military Health Care Provider | Walter Reed Nmmc, Bldg 1 Suite 5103 8955 Wood Road, Bethesda, MD 20889-5628 | 2012-03-26 |
| 1447557202 | Louis Florentine Gonzales | Military Health Care Provider | 28k Queen Mary Ct, Chester, MD 21619-2528 | 2011-02-14 |
| 1497918635 | David Paul Horvath | Military Health Care Provider | 3399 Strauss Ave Ste 219, Indian Head, MD 20640-5164 | 2008-07-08 |
| 1932383593 | Michael A Walls | Military Health Care Provider | 3399 Strauss Ave, Suite 219, Indian Head, MD 20640-5164 | 2007-12-19 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| 1851504237 | Dean Natale Del Favero | Military Health Care Provider | 2008 Stump Neck Rd, Indian Head, MD 20640-3681 | 2007-05-08 |
| 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.