JOHN OTIS WAITS (NPI# 1396779161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396779161 |
| Entity Type | Individual |
| Full Name | JOHN OTIS WAITS |
| Credential | M.D. |
| Practice Address |
1325 Mcfarland Blvd Northport AL 35476-3270 |
| Mailing Address |
405 Belcher St Centreville AL 35042-2946 |
| Practice Telephone | 2059262992 |
| Practice Fax Number | 2053167675 |
| Mailing Telephone | 2059262992 |
| Mailing Fax Number | 2053167675 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9904 | AL | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 9904 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1031 Fairfax Park, Tuscaloosa, AL 354062807 | 2053452211 | 2053452220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528331154 | John Brandon Waits | Counselor | 206 E Reynolds Dr Ste F2, Ruston, LA 71270-2809 | 2012-02-13 |
| 1962422337 | John Bryan Waits | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2006-07-20 |
| Street Address |
1325 MCFARLAND BLVD |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504336 | Luis Ronald Pernia | Specialist | 1325 Mcfarland Blvd, Suite 201, Northport, AL 35476-3270 | 2005-11-07 |
| 1780034066 | Michael Christopher Jordan | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-16 |
| 1073962833 | Sarah Clos | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-12 |
| 1548643273 | Randi Cheree Melton | Family Medicine | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1316320054 | Amy Lee Wambolt | Student in an Organized Health Care Education/Training Program | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1275926719 | Capstone Health Services Foundation PC | Clinic/Center | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-03-09 |
| 1750798534 | Jessica Hester | Nurse Practitioner | 1325 Mcfarland Blvd, Ste 101, Northport, AL 35476-3262 | 2014-07-14 |
| 1487901369 | Kyle David Adams | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2012-08-09 |
| 1689980484 | Flh, Inc. | Physical Medicine & Rehabilitation | 1325 Mcfarland Blvd, Suite 101, Northport, AL 35476-3270 | 2010-08-31 |
| 1881841500 | April L Coleman | Physician Assistant | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2008-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134148810 | Andrew J Rochman | Surgery | 5 Pebble Hill Dr, Suite 205, Northport, NY 11768-1353 | 2006-07-19 |
| 1730321498 | Soojin Ahn | Surgery | 79 Middleville Rd, Surgical Services, Northport, NY 11768-2200 | 2009-03-27 |
| 1457424541 | Solomon A David | Surgery | 79 Middleville Rd, Surgery Suite 112, Northport, NY 11768-2200 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206740 | Robert Heuermann Md LLC | Surgery | 107 Patty Lane, Talladega, AL 35160 | 2020-02-06 |
| 1497311989 | I & B Testing LLC | Surgery | 975 9th Ave Sw Ste 507, Bessemer, AL 35022-7837 | 2019-05-10 |
| 1306336011 | Jinwoo Hur | Surgery | 2305 Vincente Dr, Auburn, AL 36830-1449 | 2018-05-17 |
| 1194256438 | Jackson Hospital and Clinic Inc. | Surgery | 1722 Pine St Ste 201, Montgomery, AL 36106-1158 | 2017-03-27 |
| 1528413051 | Vinh Nguyen Md PC | Surgery | 100 Pilot Medical Dr Ste 285, Birmingham, AL 35235-3475 | 2016-05-03 |
| 1083087340 | Alabama Bariatrics and Minimally Invasive Surgery, PC | Surgery | 705 Bank St Ne, Decatur, AL 35601-1609 | 2015-11-09 |
| 1245608306 | Grandview Surgery LLC | Surgery | 316 Alpine St, Irondale, AL 35210-3210 | 2015-09-07 |
| 1891174488 | Vivian B Yeilding | Surgery | 2022 Brookwood Medical Ctr Dr Ste 207, Birmingham, AL 35209-6807 | 2015-05-28 |
| 1184013138 | Duerr Surgical, LLC | Surgery | 1008 Boll Weevil Cir Ste D, Enterprise, AL 36330-3400 | 2015-01-14 |
| 1356757991 | Michael Trace Stafford | Surgery | 1123 Belleville Ave, Brewton, AL 36426-1505 | 2014-07-03 |
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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.