DR. DANIEL J WATERS (NPI# 1962490136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962490136 |
| Entity Type | Individual |
| Full Name | DR. DANIEL J WATERS |
| Credential | D.O. |
| Practice Address |
250 S Crescent Dr Mason City IA 50401-2926 |
| Practice Telephone | 6414945300 |
| Practice Fax Number | 6414945321 |
| Mailing Telephone | 6414945400 |
| Mailing Fax Number | 6414945403 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01992 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0057067 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841854254 | Daniel Waters | Counselor | 1715 Se 32nd Pl, Portland, OR 97214-5016 | 2019-05-01 |
| 1861960700 | Daniel Craig Waters | Pharmacist | 733 E Quinlan Pkwy, Quinlan, TX 75474-8641 | 2018-11-08 |
| Street Address |
250 S CRESCENT DR |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737484 | Richard Elmer Rattay | Orthopaedic Surgery | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2005-06-01 |
| 1154937001 | Christopher Randall | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-09-16 |
| 1871129783 | Thomas Silva | Psychiatry & Neurology | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-03-23 |
| 1407486194 | Heather Ann Bucklin | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-01-22 |
| 1932685351 | Michele Ann Plunkett | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2018-07-18 |
| 1285120402 | Stacey Lester | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401 | 2018-07-11 |
| 1083102933 | Colombia Esther Ptacek | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2018-04-26 |
| 1073026274 | Jared James Johanns | Physical Therapist | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2017-11-09 |
| 1639607757 | Michael David Gerber | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2017-06-02 |
| 1255866356 | Robert Keith Giles II | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2017-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504398 | Center for Vein Restoration Ia Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 Cedar Cross Rd Ste A, Dubuque, IA 52003-7704 | 2019-11-29 |
| 1871997759 | Steven Joseph Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8081 Cobblestone Rd, Urbandale, IA 50322-4422 | 2014-10-21 |
| 1982973970 | Chamnahn Kongtahworn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12950 Woodlands Pkwy, Clive, IA 50325-8748 | 2011-12-20 |
| 1881743581 | Iowa City Cardiovascular Surgery Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 E Jefferson St Ste 304, Iowa City, IA 52245-2479 | 2007-01-10 |
| 1013960129 | Eromosele Anthony Otoadese | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701-4588 | 2006-05-18 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1922056894 | Mark W Nielsen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4630 Singing Hills Blvd, Suite A, Sioux City, IA 51106-9702 | 2006-05-04 |
| 1245296664 | Marco Ricci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Drive University of Iowa, Iowa City, IA 52243-1005 | 2006-04-25 |
| 1760461032 | Christopher Carl Peters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Oakdale Blvd, Suite #2, Coralville, IA 52241-9749 | 2006-01-13 |
| 1730702853 | Marian Hohenwarter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Dr, Dept of Thoracic Surgery, Iowa City, IA 52242-1009 | 2020-05-22 |
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| City | MASON CITY |
| Zip Code | 50401 |
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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.