DR. STEPHANIE RENEE WATERMAN (NPI# 1639246283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639246283 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE RENEE WATERMAN |
| Credential | D.O. |
| Practice Address |
1520 Farm Dl Allen TX 75002-1551 |
| Practice Telephone | 9728493280 |
| Mailing Telephone | 9728493280 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K9699 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8A1395 | 01 |
| TX | UNITED | 2204144 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952761090 | Stephanie Waterman | Counselor | 624 E Main St, Lancaster, OH 43130-3903 | 2016-03-02 |
| 1801278809 | Stephanie Waterman | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2015-06-25 |
| Street Address |
1520 FARM DL |
| City | ALLEN |
| State | TX |
| Zip Code | 75002-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800810 | Lml Counseling Services, LLC | Community/Behavioral Health | 8505 Rasor Blvd, Plano, TX 75002 | 2020-08-05 |
| 1235779422 | Deepa Mary Mathew | Registered Nurse | 1719 Shawnee Trail, Allen, TX 75002 | 2020-01-15 |
| 1932687993 | Bec N Call Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 301 S. Cedar Drive, Allen, TX 75002 | 2018-08-01 |
| 1801388715 | Triton Medical, LLC | Durable Medical Equipment & Medical Supplies | 6800 Weiskopf Ave Suite 150, Allen, TX 75002 | 2018-06-06 |
| 1841787504 | Parley Hubler Jr Dds Pllc | Dentist | 501 S Angel Pkwy, Ste 100, Lucas, TX 75002 | 2018-04-18 |
| 1730682030 | Ks Allen Tx PC | Dentist | 121 N Greenville Ave Ste M, Allen, TX 75002 | 2018-03-13 |
| 1356842645 | Tammy Ann Eiland | Registered Nurse | 1412 Spring Street, 1412 Spring Street, Allen, TX 75002 | 2018-02-22 |
| 1770084055 | Choy Ortho-pedo Pllc | Dentist | 501 South Angel Parkway, Suite 400, Lucas, TX 75002 | 2018-02-22 |
| 1679091888 | Julie Von Gardner | Counselor | 809 Heritage Pkwy. South, Allen, TX 75002 | 2017-09-07 |
| 1255852984 | Christina Lynn Vo | Dentist | 611 Rockcrossing Ln., Allen, TX 75002 | 2017-07-03 |
| Find all providers in zip 75002 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366099194 | Family Care and Wellness, Pllc | Family Medicine | 915 W Exchange Pkwy Ste 210, Allen, TX 75013-7032 | 2019-08-26 |
| 1033764964 | Melony Ann Chilcoat | Family Medicine | 997 Raintree Cir Ste 140, Allen, TX 75013-4950 | 2019-08-07 |
| 1912470949 | Lafave Melton Medical Inc | Family Medicine | 501 E Conway, Allen, OK 74825-2904 | 2019-01-02 |
| 1174046452 | Vitals Family Medicine Pllc | Family Medicine | 1420 W Exchange Pkwy Ste 120, Allen, TX 75013-4696 | 2017-07-19 |
| 1952782518 | Fakhrudin Aaseemah Mohamed | Family Medicine | 940 W Stacy Rd, Allen, TX 75013-5214 | 2015-06-09 |
| 1619355708 | Beverly Tambe | Family Medicine | 2175 Fair Hill Dr, Allen, TX 75013-5659 | 2015-05-11 |
| 1356761522 | Jane Chandy Abraham | Family Medicine | 1105 Central Expy N Ste 2120, Allen, TX 75013-6117 | 2014-04-25 |
| 1811272719 | Shauntelle Dene Bonman | Family Medicine | 101c N Greenville Ave # 616, Allen, TX 75002-2235 | 2011-10-12 |
| 1407142987 | Ahmed A Darwish | Family Medicine | 1310 W Exchange Pkwy, Allen, TX 75013-7025 | 2011-06-23 |
| 1952530958 | John P Lavery Md Pa | Family Medicine | 997 Raintree Cir Ste 120, Allen, TX 75013-4951 | 2009-07-10 |
| Find all providers in ALLEN | ||||
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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.