DR. DAVID EUGENE WATERS (NPI# 1386932564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386932564 |
| Entity Type | Individual |
| Full Name | DR. DAVID EUGENE WATERS |
| Credential | D.P.M. |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202 |
| Mailing Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Practice Telephone | 3134332089 |
| Practice Fax Number | 5055643202 |
| Mailing Telephone | 3134332089 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2018-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5315089804 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5901002399 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370732 | David Carl Waters | Neurological Surgery | 6261 E Virginia Beach Blvd Ste 200, Norfolk, VA 23502-2964 | 2005-07-20 |
| 1487215273 | David Waters | Behavioral Analyst | 931 W Water St, Portland, IN 47371-1755 | 2019-06-24 |
| 1427400977 | David Waters | Counselor | 1236 Paris Pike, Georgetown, KY 40324-9701 | 2016-07-08 |
| 1144682154 | David Michael Waters | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Chicago, IL 60611-2909 | 2016-03-28 |
| 1770809667 | David Mark Waters | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27710-6372 | 2010-04-16 |
| 1366562720 | David B. Waters | Psychologist | 1st Lee St, Charlottesville, VA 22908-0001 | 2007-03-30 |
| 1447342829 | David T. Waters | Ophthalmology | 1010 Pensacola St, Honolulu, HI 96814-2118 | 2006-09-29 |
| 1366548125 | David A. Waters | Dentist | 838 Powdersville Rd, Suite E, Easley, SC 29642-3703 | 2006-09-16 |
| 1508808122 | David Douglas Waters | Internal Medicine | 1001 Potrero Avenue, Rm 5g1, San Francisco, CA 94110-3518 | 2006-06-11 |
| 1972572196 | David Barton Waters | Surgery | 250 Boswell St, Lexington, TN 38351-1566 | 2006-03-17 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155576 | Chinenye Ezike | Podiatrist | 22201 Moross Rd Ste 250, Detroit, MI 48236-2175 | 2016-06-15 |
| 1700048931 | Melissa Laura Allen | Podiatrist | 3430 E Jefferson Ave, 523, Detroit, MI 48207-4233 | 2008-06-29 |
| 1942491857 | Michigan Foot Surgeons, P.C. | Podiatrist | 12720 W 7 Mile Rd, Detroit, MI 48235-1301 | 2007-08-06 |
| 1649329590 | Stuart E Kirschenbaum | Podiatrist | 8319 Grand River Ave, Detroit, MI 48204-2231 | 2007-01-09 |
| 1639255946 | Stuart Edward Kirschenbaum | Podiatrist | 3031 W Grand Blvd Ste 423, Detroit, MI 48202-3141 | 2006-10-29 |
| 1679667620 | Cohen Podiatry PC | Podiatrist | 7633 E Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-03 |
| 1134212889 | Herbert Bircoll | Podiatrist | 7633 E. Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-02 |
| 1801905518 | Philip Edward Holmes | Podiatrist | 4646 John R. St, John Dingell Va Medical Center, Dept. of Surgery, Detroit, MI 48201 | 2006-08-29 |
| 1487678686 | Christopher Michael Fallu | Podiatrist | 6795 W Vernor Hwy, Detroit, MI 48209-1551 | 2006-07-27 |
| 1457385841 | Larry Weiss Dpm PC | Podiatrist | 17421 Greenfield, Detroit, MI 48235 | 2006-07-10 |
| Find all providers in DETROIT | ||||
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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.