DR. JENNIFER MARIE WATTERS (NPI# 1801013560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801013560 |
Entity Type | Individual |
Full Name | DR. JENNIFER MARIE WATTERS |
Credential | M.D. |
Practice Address |
2275 Ne Doctors Dr Ste 6 Bend OR 97701-6092 |
Mailing Address |
3181 Sw Sam Jackson Park Rd L611 Portland OR 97239-3011 |
Practice Telephone | 5417066915 |
Practice Fax Number | 5417066733 |
Mailing Telephone | 5034945300 |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-04-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | MD27637 | OR | Allopathic & Osteopathic Physicians |
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD27637 | OR | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD27637 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962618108 | Jennifer Jean Watters | Physical Therapist | 1100 Ninth Avenue, Seattle, WA 98101 | 2007-05-15 |
1134270705 | Jennifer Joanne Watters | Massage Therapist | 1635 Olympic Highway N, Shelton, WA 98584 | 2007-01-12 |
1750463246 | Jennifer Leigh Watters | Dentist | 2299 19th Avenune, San Francisco, CA 94116 | 2006-10-20 |
1376987255 | Jennifer Smith Watters | Registered Nurse | 120 Lakeside Dr, Union, SC 29379-1939 | 2013-04-23 |
1144568346 | Jennifer Diane Watters | Physical Therapy Assistant | 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 | 2013-01-22 |
1912133919 | Jennifer M Watters | Chiropractor | 710 Wilshire Blvd Ste 314, Santa Monica, CA 90401-1724 | 2009-06-04 |
Street Address |
2275 NE DOCTORS DR STE 6 |
City | BEND |
State | OR |
Zip Code | 97701-6092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972588572 | Daniel Thomas Cosgro | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2005-12-07 |
1609281518 | Catherine Heaphy | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2014-06-30 |
1134462302 | Anne Onishi | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2013-04-05 |
1023369030 | Ryan Dutton | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2012-10-01 |
1194098756 | Linda De Laveaga Becker | Nurse Practitioner | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2012-02-13 |
1093008617 | Andrew Jon Riggle | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2011-05-16 |
1841580503 | Mary Elizabeth Condron | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2011-04-15 |
1497085922 | Bradley E Scott | Physician Assistant | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2010-01-06 |
1730345331 | Marika Yedinak Gassner | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2008-08-03 |
1104029768 | Maryclare Sarff | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2007-06-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
Find all providers in zip 97701 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1730345331 | Marika Yedinak Gassner | Surgery | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2008-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639379811 | Ivonne M Daly | Surgery | 815 Ne Davis St Fl 3, Portland, OR 97232-2964 | 2007-07-25 |
1265850762 | Tatiana Hoyos Gomez | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-04-01 |
1124261979 | Elizabeth Maryann Windell | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2009-04-09 |
1285802009 | Albert Chi | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-02-14 |
1932304284 | Mitchell Brett Sally | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-06-18 |
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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.