JERRY DEE WATERS (NPI# 1528075454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528075454 |
| Entity Type | Individual |
| Full Name | JERRY DEE WATERS |
| Credential | MD |
| Practice Address |
2721 Olive Hwy Ste 9 Oroville CA 95966-6115 |
| Mailing Address |
236 W East Ave Pmb 323 Chico CA 95926-7235 |
| Practice Telephone | 5305383020 |
| Practice Fax Number | 5305334243 |
| Mailing Telephone | 5305383020 |
| Mailing Fax Number | 5305334243 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
G44051 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G440510 | 05 | |
| RAILROAD MEDICARE RRM | P00084218 | 01 | |
| MEDICARE RAILROAD # | P00276055 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437367307 | Jerry Owen Waters | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2007-05-21 |
| Street Address |
2721 OLIVE HWY STE 9 |
| City | OROVILLE |
| State | CA |
| Zip Code | 95966-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917499 | Vaughn Jeffrey Smith | Family Medicine | 2721 Olive Hwy, Suite 8, Oroville, CA 95966-6115 | 2005-10-26 |
| 1629512934 | Oroville Hospital | General Acute Care Hospital | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2016-12-06 |
| 1184018137 | Lifang Peng | Physician Assistant | 2721 Olive Hwy, Suite 7, Oroville, CA 95966-6115 | 2015-03-26 |
| 1679834113 | Charles A Garretson Md Sole Mbr | Internal Medicine | 2721 Olive Hwy, Ste 2, Oroville, CA 95966-6115 | 2012-05-31 |
| 1295095693 | Oroville Hospital | Clinic/Center | 2721 Olive Hwy, Suite 5, Oroville, CA 95966-6115 | 2012-05-21 |
| 1154610996 | Ki Xiong | Podiatrist | 2721 Olive Hwy, Suite 5, Oroville, CA 95966-6115 | 2011-04-01 |
| 1740583095 | Oroville Hospital | Clinic/Center | 2721 Olive Hwy, Suite 9, Oroville, CA 95966-6115 | 2010-12-08 |
| 1942467519 | Theresa Anne O' Hair | Nurse Practitioner | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2008-05-20 |
| 1457405243 | Eric Redmer | Pharmacist | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2007-01-22 |
| 1689743064 | Mammen George Chandy | Surgery | 2721 Olive Hwy, Suite 4, Oroville, CA 95966-6115 | 2006-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 1467001230 | Elijah House, Los Molinos | Substance Abuse Rehabilitation Facility | 7904 Hwy 99e, Oroville, CA 95966 | 2019-09-05 |
| 1689180838 | Jessica Dawn Legg | Registered Nurse | 120 Kokanee Drive, Oroville, CA 95966 | 2017-12-26 |
| 1992220198 | Vanesa Kim Van Tran I | Counselor | 24 Pleasant Oak Lane, Oroville, CA 95966 | 2017-08-08 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1790181519 | Tyra Graham | Counselor | 6590 Upper Palermo Rd., Oroville, CA 95966 | 2014-11-05 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1255690079 | Country Crest, LLC | Skilled Nursing Facility | 50 Concordia Lane, Oroville, CA 95966 | 2012-05-14 |
| 1710140454 | Brandi Halsted | Social Worker | 2145 Fifth Ave, Oroville, CA 95966 | 2008-07-02 |
| 1336308360 | Geraldine Grace Cummings | Licensed Vocational Nurse | 439 Dunstone Drive, Oroville, CA 95966 | 2008-06-05 |
| Find all providers in zip 95966 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821752 | Pacific Advanced Surgical Services | Pain Medicine | 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 | 2020-11-02 |
| 1376140152 | Tania Faruque M.d. P.C. | Pain Medicine | 255 N Elm St Ste 101, Escondido, CA 92025-3431 | 2020-10-05 |
| 1578199147 | Pinnacle Pain & Regenerative Medicine Inc | Pain Medicine | 24452 Health Center Dr, Laguna Hills, CA 92653-3604 | 2020-03-16 |
| 1396376745 | Michael Truong, Md | Pain Medicine | 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 | 2020-02-03 |
| 1013554930 | Algos Inc., A Medical Corporation | Pain Medicine | 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 | 2019-12-10 |
| 1649823964 | Bolt Surgery Center, LLC | Pain Medicine | 1124 S Main St Ste 102, Corona, CA 92882-4449 | 2019-07-17 |
| 1730649799 | Niamedic Bh PC | Pain Medicine | 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 | 2019-03-24 |
| 1174097612 | Southern California Regenerative Medical Inc | Pain Medicine | 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 | 2019-01-17 |
| 1215404132 | Haven Orthopedics & Spine Institute Inc | Pain Medicine | 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 | 2018-10-29 |
| 1700387347 | Paul Kim Md Inc. | Pain Medicine | 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 | 2018-02-27 |
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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.