SAMUEL G WATERS (NPI# 1780187302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780187302 |
| Entity Type | Individual |
| Full Name | SAMUEL G WATERS |
| Credential | MD |
| Practice Address |
512 Farr Shores Dr Hot Springs AR 71913-9622 |
| Practice Telephone | 5017653191 |
| Mailing Telephone | 5017653191 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | C-8150 | AR | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | C-8150 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 122903001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548721699 | Samuel J Waters | Behavioral Analyst | 2620 Stein Blvd Ste B, Eau Claire, WI 54701-2674 | 2019-03-29 |
| Street Address |
512 FARR SHORES DR |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205345154 | Lakeside Walk-in Clinic Pllc | General Practice | 2230 Malvern Ave Ste E, Hot Springs, AR 71901-8000 | 2017-09-22 |
| 1245448885 | Hermann F. Jonak | General Practice | 702 Surrey Road, Hot Springs, AR 71902 | 2007-05-18 |
| 1831578475 | Healthstar Physicians of Hot Springs, Pllc | General Practice | 1661 Airport Rd, Suite D, Hot Springs, AR 71913-7951 | 2015-05-28 |
| 1972897056 | Hot Springs Aids Resource Center | General Practice | 1801 Central Ave, Suite A, Hot Springs, AR 71901-6848 | 2011-06-06 |
| 1124274808 | Kalarikkal K Jayaraman | General Practice | 180 Medical Park Pl, Suite 102, Hot Springs, AR 71901-8065 | 2008-08-13 |
| 1831387117 | Chi St. Vincent Medical Group Hot Springs | General Practice | 1 Mercy Ln, Suite 201, Hot Springs, AR 71913-6442 | 2007-10-11 |
| 1497880124 | Chi St Vincent Hospital Hot Springs | General Practice | 221 Mcauley Ct, Hot Springs, AR 71913-6314 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382059 | Landmark Medical of Arkansas Pa | General Practice | 425 W Capitol Ave Ste 425, Little Rock, AR 72201-3424 | 2020-10-08 |
| 1306480231 | Command Radiology Solutions, Inc. | General Practice | 3708 Pilot Grove Loop, Ozark, AR 72949-2488 | 2019-11-04 |
| 1215586797 | Achor Management Inc | General Practice | 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113-7443 | 2019-09-08 |
| 1093364820 | Center for Regenerative Medicine Pa | General Practice | 9307 Maumelle Blvd, North Little Rock, AR 72113-6609 | 2019-09-04 |
| 1083269690 | University of Arkansas At Monticello | General Practice | 663 University Drive, Monticello, AR 71656 | 2019-08-09 |
| 1912492786 | Chelsea Brown | General Practice | 6309 Highway 5 N, Bryant, AR 72022-8506 | 2018-06-25 |
| 1558897595 | Epoch-nwa Pllc | General Practice | 5100 W Pauline Whitaker Pkwy, Ste. 110, Rogers, AR 72758-8335 | 2017-05-11 |
| 1023540655 | Aaron M Smith | General Practice | Varner Unit State Hwy 388, Gould, AR 71643 | 2017-04-02 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1003360082 | Healthmax Center LLC | General Practice | 12300 Highway 71 S, Suite A, Fort Smith, AR 72916-9133 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
Please comment or provide details below to improve the information on SAMUEL G WATERS.
| 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.