DR. STEPHEN KENTON WATERBROOK (NPI# 1558564872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558564872 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KENTON WATERBROOK |
| Credential | M.D. |
| Practice Address |
150 Catherine Ln Suite J Grass Valley CA 95945-5719 |
| Mailing Address |
150 Catherine Ln Ste J Grass Valley CA 95945-5719 |
| Practice Telephone | 5302722257 |
| Practice Fax Number | 5302726977 |
| Mailing Telephone | 5302722257 |
| Mailing Fax Number | 5302726977 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A94355 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
150 CATHERINE LN SUITE J |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965235 | Christopher Charles Claydon | Family Medicine | 150 Catherine Ln, Suite B, Grass Valley, CA 95945-5719 | 2005-07-07 |
| 1861868226 | Daniel Greenberg | Acupuncturist | 150 Catherine Ln, Suite I, Grass Valley, CA 95945-5719 | 2015-08-19 |
| 1215327291 | Stephen K Waterbrook Md Inc | Surgery | 150 Catherine Ln, Suite J, Grass Valley, CA 95945-5719 | 2015-01-29 |
| 1003083031 | Frances Fua Canet | Internal Medicine | 150 Catherine Ln, Suite D, Grass Valley, CA 95945-5719 | 2008-05-08 |
| 1881882173 | Minor Everett Ward Md Inc | Surgery | 150 Catherine Ln, Suite J, Grass Valley, CA 95945-5719 | 2007-10-11 |
| 1730392184 | Gwendolyn P. Eymann | Nurse Practitioner | 150 Catherine Ln, Suite F, Grass Valley, CA 95945-5719 | 2007-05-08 |
| 1508085499 | Nelson R. Maldonadom.d.,inc. | Surgery | 150 Catherine Ln, Suite G, Grass Valley, CA 95945-5719 | 2007-04-25 |
| 1033232012 | Ruth Elizabeth Cutter | Nurse Practitioner | 150 Catherine Ln, Suite I, Grass Valley, CA 95945-5719 | 2007-04-06 |
| 1700919339 | Christopher Claydon Md | Family Medicine | 150 Catherine Ln, Suite B, Grass Valley, CA 95945-5719 | 2007-03-13 |
| 1508921305 | Nelson R Maldonado | Surgery | 150 Catherine Ln, Suite G, Grass Valley, CA 95945-5719 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| 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 |
|---|---|---|---|---|
| 1215327291 | Stephen K Waterbrook Md Inc | Surgery | 150 Catherine Ln, Suite J, Grass Valley, CA 95945-5719 | 2015-01-29 |
| 1881882173 | Minor Everett Ward Md Inc | Surgery | 150 Catherine Ln, Suite J, Grass Valley, CA 95945-5719 | 2007-10-11 |
| 1508085499 | Nelson R. Maldonadom.d.,inc. | Surgery | 150 Catherine Ln, Suite G, Grass Valley, CA 95945-5719 | 2007-04-25 |
| 1154478055 | Robert Edward Michelin | Surgery | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2007-01-04 |
| 1508921305 | Nelson R Maldonado | Surgery | 150 Catherine Ln, Suite G, Grass Valley, CA 95945-5719 | 2006-12-22 |
| 1467483966 | Thomas Michael Boyle | Surgery | 123 Margaret Lane, Ste B2, Grass Valley, CA 95945 | 2006-07-05 |
| 1487696464 | Minor E. Ward | Surgery | 150 Catherine Ln, Suite J, Grass Valley, CA 95945-5719 | 2006-06-12 |
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| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
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| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.