DR. MICHAEL K WATERS (NPI# 1649351362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649351362 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL K WATERS |
| Credential | MD |
| Practice Address |
179 N Broad St Norwich NY 13815-1019 |
| Mailing Address |
104 Sharman Dr Norwich NY 13815-3183 |
| Practice Telephone | 6073377045 |
| Mailing Telephone | 6073347149 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
190029 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01349499 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447380 | Michael Waters | Internal Medicine | 10 Samuel Dr, Washington, PA 15301-3206 | 2018-11-26 |
| 1316147457 | Michael Waters | Military Health Care Provider | 14900 Park Central Road, Naval Support Facility, Thurmont, MD 21788 | 2007-07-18 |
| 1629140561 | Michael Farris Waters | Specialist | 240 W Thomas Rd # 403, Phoenix, AZ 85013 | 2006-11-15 |
| 1912948084 | Michael Brandon Waters | Physical Therapist | 247 Oak St Extension, Suite 145, Forest City, NC 28043-3585 | 2006-06-09 |
| 1417915547 | Michael G Waters | Family Medicine | 4944 Greensboro Rd, Ridgeway, VA 24148-3390 | 2006-05-01 |
| 1275596538 | Michael G Waters | Urology | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | 2006-04-08 |
| 1811965908 | Michael L Waters | Family Medicine | 13001 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-3123 | 2006-03-14 |
| 1861469512 | Michael Alan Waters | Specialist | 309 S. Medford Dr., Lufkin, TX 75901-5245 | 2006-03-01 |
| 1316505100 | Michael Derek Waters | Counselor | 1777 Buckman Springs Rd, Campo, CA 91906-2022 | 2019-06-05 |
| 1710540786 | Michael Richard Waters | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2019-04-16 |
| Street Address |
179 N BROAD ST |
| City | NORWICH |
| State | NY |
| Zip Code | 13815-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431993 | Ronald H Sacks | Radiology | 179 N Broad St, Norwich, NY 13815-1019 | 2005-07-15 |
| 1770138448 | Jessica Marie Banning | Physical Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2019-08-08 |
| 1467007799 | Sayde Shea Gaydorus | Occupational Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2019-08-05 |
| 1336625243 | Alyssa Clare Macintosh | Obstetrics & Gynecology | 179 N Broad St, Norwich, NY 13815-1019 | 2018-07-13 |
| 1568975159 | Chenango Memorial Hospital Inc | Clinic/Center | 179 N Broad St, Norwich, NY 13815-1019 | 2017-11-06 |
| 1154831295 | Janice Minutti | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2017-10-03 |
| 1538678388 | Ektaben Miteshkumar Chauhan | Physical Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-25 |
| 1194234005 | Kristen Kay Menard | Nurse Practitioner | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-22 |
| 1679092779 | Lindsay Jae Skiechs | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-11 |
| 1154771681 | Nicholas Trinkle | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304752 | Amanda Butler | Social Worker | Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 | 2019-09-10 |
| 1235793548 | Kay Marie Drebert | Social Worker | Chenango County Community Mental Hygiene Services - Cou, Suite 42, Norwich, NY 13815 | 2019-04-23 |
| 1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
| 1801387543 | Heather Rae Kolb | Social Worker | 5 Court St. Suite 42, Noriwch, NY 13815 | 2018-05-29 |
| 1386162006 | Courtney Jean Brown | Licensed Practical Nurse | 131 Railroad Ave, Norwich, NY 13815 | 2017-09-01 |
| 1891225827 | Fanny Sacks | Chiropractor | 4939 State Hwy 23, Norwich, NY 13815 | 2017-06-13 |
| 1558817916 | Erika J Rossi | Nurse Practitioner | 55 Calvary Drive, Norwich, NY 13815 | 2016-08-26 |
| 1013367341 | Irina Gordeyeva | Social Worker | 5 Court Street Suite 42, Chenango County Behavioral Health Services, Norwich, NY 13815 | 2016-06-17 |
| 1104287390 | Amanda Leigh Scott | Massage Therapist | 409 County Rd 33, Norwich, NY 13815 | 2016-03-15 |
| 1962886119 | Abigail Goings | Speech-Language Pathologist | 54 Borden Ave, C 38, Norwich, NY 13815 | 2015-07-17 |
| Find all providers in zip 13815 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588129852 | Steve Lazo | Emergency Medicine | 3210 Greenpoint Ave, Long Island City, NY 11101-2010 | 2019-01-31 |
| 1730667734 | Lagrange Fire District | Emergency Medicine | 504 Freedom Plains Road, Poughkeepsie, NY 12603-2678 | 2018-08-01 |
| 1407217631 | Debonotropepamdpc | Emergency Medicine | 24 Charter Ave, Dix Hills, NY 11746-6447 | 2016-03-16 |
| 1699013946 | Medfirst Urgent Care | Emergency Medicine | 1751 Sheridan Dr, Tonawanda, NY 14223 | 2013-01-22 |
| 1356689855 | Medfirst Urgent Care, Pllc | Emergency Medicine | 3190 Niagara Falls Blvd, Amherst, NY 14228-1639 | 2013-01-18 |
| 1821341744 | Stat Medical Usa | Emergency Medicine | 1943 Vincent Ln, Syosset, NY 11791-9629 | 2012-10-16 |
| 1104132190 | Kildare Clarke | Emergency Medicine | 6 Hazelton Dr, White Plains, NY 10605-3805 | 2010-08-27 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1497076806 | Jose Luis Romero | Emergency Medicine | 3636 Waldo Ave Apt 4n, Bronx, NY 10463-2256 | 2010-06-21 |
| 1619109121 | Matthew J. Krauthamer | Emergency Medicine | 16 Capri Ct, Dix Hills, NY 11746-6410 | 2009-08-17 |
| Find all providers with the same taxonomy | ||||
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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.