JERRY WATERS, MD (NPI# 1962543272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962543272 |
| Entity Type | Organization |
| Organization Name | JERRY WATERS, MD |
| Practice Address |
2809 Olive Hwy Suite 260 Oroville CA 95966-6131 |
| Mailing Address |
236 W East Ave Pmb 323 Chico CA 95926-7235 |
| Practice Telephone | 5305383023 |
| Mailing Telephone | 5305383023 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2009-04-17 |
| Authorized Official Name | JERRY D WATERS (MD) |
| Authorized Official Telephone | 5305383023 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G44051 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD # | P00276055 | 01 | |
| CA | 00G440510 | 05 |
| Street Address |
2809 OLIVE HWY SUITE 260 |
| City | OROVILLE |
| State | CA |
| Zip Code | 95966-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637744 | Sultan Chopan | Family Medicine | 2809 Olive Hwy, Ste 380, Oroville, CA 95966-6136 | 2005-05-27 |
| 1417480468 | Neal Spiva | General Practice | 2809 Olive Hwy, Oroville, CA 95966-6131 | 2017-04-06 |
| 1154790905 | Oroville Hospital | General Acute Care Hospital | 2809 Olive Hwy, Suite 140, Oroville, CA 95966-6131 | 2015-09-23 |
| 1760872162 | Angela Lynn Bushey | Nurse Practitioner | 2809 Olive Hwy, Suite 210, Oroville, CA 95966-6131 | 2015-01-23 |
| 1063858587 | Oroville Hospital | Ophthalmology | 2809 Olive Hwy, Ste 250, Oroville, CA 95966-6131 | 2013-05-13 |
| 1194060913 | M. Robert Ching, M.d., Inc. | Orthopaedic Surgery | 2809 Olive Hwy, Suite 230, Oroville, CA 95966-6131 | 2012-12-05 |
| 1275803801 | Oroville Hospital | Clinic/Center | 2809 Olive Hwy, Suite 350, Oroville, CA 95966-6131 | 2012-01-12 |
| 1891065421 | Oroville Hospital | Clinic/Center | 2809 Olive Hwy, Suite 260, Oroville, CA 95966-6131 | 2012-01-12 |
| 1962722850 | Ravi Nagubandi | Surgery | 2809 Olive Hwy, Oroville, CA 95966-6131 | 2010-06-02 |
| 1972761815 | Eric Rodman Stevens | Ophthalmology | 2809 Olive Hwy, Ste 250, Oroville, CA 95966-6131 | 2008-05-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 1467001230 | Elijah House, Los Molinos | Substance Abuse Rehabilitation Facility | 7904 Hwy 99e, Oroville, CA 95966 | 2019-09-05 |
| 1689180838 | Jessica Dawn Legg | Registered Nurse | 120 Kokanee Drive, Oroville, CA 95966 | 2017-12-26 |
| 1992220198 | Vanesa Kim Van Tran I | Counselor | 24 Pleasant Oak Lane, Oroville, CA 95966 | 2017-08-08 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1790181519 | Tyra Graham | Counselor | 6590 Upper Palermo Rd., Oroville, CA 95966 | 2014-11-05 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1255690079 | Country Crest, LLC | Skilled Nursing Facility | 50 Concordia Lane, Oroville, CA 95966 | 2012-05-14 |
| 1710140454 | Brandi Halsted | Social Worker | 2145 Fifth Ave, Oroville, CA 95966 | 2008-07-02 |
| 1336308360 | Geraldine Grace Cummings | Licensed Vocational Nurse | 439 Dunstone Drive, Oroville, CA 95966 | 2008-06-05 |
| Find all providers in zip 95966 | ||||
| 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 |
|---|---|---|---|---|
| 1396301768 | William Mccoy | Family Medicine | 7 Teancum Ct, Oroville, CA 95966-5670 | 2019-05-11 |
| 1316113038 | Gordon A Gilkes | Family Medicine | 3844 Grizzly Creek Rd, Home Office, Oroville, CA 95965-9745 | 2008-05-02 |
| 1831273234 | Mayama Morehart | Family Medicine | 72 Scenic View Dr, Oroville, CA 95965-8343 | 2006-10-24 |
| 1114917499 | Vaughn Jeffrey Smith | Family Medicine | 2721 Olive Hwy, Suite 8, Oroville, CA 95966-6115 | 2005-10-26 |
| 1568458164 | Steven T Lamb | Family Medicine | 125 Eastlake Rd, Oroville, WA 98844-9571 | 2005-09-20 |
| 1073515920 | Timothy Edward Huber | Family Medicine | 2809 Olive Hwy Ste 220, Oroville, CA 95966-6133 | 2005-08-11 |
| 1285637744 | Sultan Chopan | Family Medicine | 2809 Olive Hwy, Ste 380, Oroville, CA 95966-6136 | 2005-05-27 |
| 1568010775 | Marie Harvey Nay | Family Medicine | 2721 Olive Hwy Ste 10b, Oroville, CA 95966-6115 | 2019-08-30 |
| 1578820569 | Lance Thomas Lee | Family Medicine | 2800 Lincoln St, Oroville, CA 95966-5961 | 2012-04-16 |
| 1417237348 | Mee Yang | Family Medicine | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2011-08-23 |
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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.