ROBERT A WATERMAN (NPI# 1639189814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639189814 |
| Entity Type | Individual |
| Full Name | ROBERT A WATERMAN |
| Credential | PA |
| Practice Address |
4605 Sawmill Rd Upper Arlington OH 43220-2246 |
| Practice Telephone | 6148278700 |
| Practice Fax Number | 6148278701 |
| Mailing Telephone | 6148278700 |
| Mailing Fax Number | 6148278701 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50000422 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788392 | Robert William Waterman Jr. | Psychiatry & Neurology | 2500 Overlook Terrace, Madison, WI 53705-2286 | 2006-07-07 |
| Street Address |
4605 SAWMILL RD |
| City | UPPER ARLINGTON |
| State | OH |
| Zip Code | 43220-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266763 | Emily Byorth | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2020-08-19 |
| 1649880758 | Theodore James Smith | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2020-08-04 |
| 1184265027 | Yichen Jiang | Occupational Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-10-02 |
| 1063067569 | Jon A Moore | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-08-02 |
| 1821643271 | Jillian R Brigle | Specialist/Technologist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-08-02 |
| 1235790205 | Jenna P Trucco | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-06-21 |
| 1306407317 | Jennifer Barden | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-06-21 |
| 1518527555 | Minori M Minagawa | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-06-20 |
| 1669032884 | Kyle J Rogus | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-06-19 |
| 1154888915 | Alexandria L Carroll | Massage Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2019-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
| 1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
| 1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
| 1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
| 1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
| 1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
| 1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
| 1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
| Find all providers in zip 43220 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033496658 | Katie Maria Westfield | Physician Assistant | 4605 Sawmill Rd, Upper Arlington, OH 43220 | 2011-11-10 |
| 1225311921 | Tiffany M Greene | Physician Assistant | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2011-09-20 |
| 1174519714 | Ronald E. Hopkins | Physician Assistant | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | UPPER ARLINGTON |
| Zip Code | 43220 |
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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.