Valerie Ann Waters (NPI# 1184912941, PAC ID# 1355511346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184912941 |
| PAC ID by PECOS | 1355511346 |
| Professional Enrollment ID | I20110830000767 |
| Full Name | Valerie Ann Waters |
| Organization Legal Name | DALAL MEDICAL CORPORATION |
| Address |
519 N Halleck St Demotte IN 46310-9553 |
| Phone Number | 2199224900 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527128503 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150125 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 519 N Halleck St, Demotte, IN 46310-9553 | 2199224900 | DALAL MEDICAL CORPORATION |
| 9731 Prairie Ave, Highland, IN 46322-3616 | 2199224900 | DALAL MEDICAL CORPORATION |
| Organization Legal Name | DALAL MEDICAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohsen R Khan | Internal Medicine | Dalal Medical Corporation | 9731 Prairie Ave, Highland, IN 46322-3616 |
| Marissa R Bottos | Nurse Practitioner | Dalal Medical Corporation | 9731 Prairie Ave, Highland, IN 46322-3616 |
| John L Kniaz | Gastroenterology | Dalal Medical Corporation | 9731 Prairie Ave, Highland, IN 46322-3616 |
| Navin Kumar | Gastroenterology | Dalal Medical Corporation | 9150 E 109th Ave, Suite 2d, Crown Point, IN 46307-7686 |
| Street Address |
519 N HALLECK ST |
| City | DEMOTTE |
| State | IN |
| Zip | 46310-9553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micah J Leestma | Family Medicine | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Eric J Leestma | Family Medicine | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Adam Jon Leestma | Nurse Practitioner | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Lena A Scheck | Physician Assistant | Dermio Dermatology LLC | 519 N Halleck St, Demotte, IN 46310-9553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Bn Achufusi | Family Medicine | Franciscan Physician Network | 200 3rd Court Se, Demonte, IN 46310-7400 |
| Ugochi G Okoro | Family Medicine | Franciscan Physician Network | 200 3rd Court Se, Demonte, IN 46310-7400 |
| Paul G Sommer | Podiatry | 520 8th Ave Ne, Demotte, IN 46310-9108 | |
| Keri Jo Smith | Nurse Practitioner | Porter Physician Services LLC | 520 8th Ave Ne, Demotte, IN 46310-9108 |
| Teressa M Meseberg | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 310 N Halleck St, Demotte, IN 46310-9419 |
| Sarah M Lukasik | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 310 N Halleck St, Demotte, IN 46310-9419 |
| Mark J Dobson | Chiropractic | Dobson Chiropractic Center PC | 5844 W State Rd, Suite 10, Demotte, IN 46310-9498 |
| Daron Keith Lynch | Chiropractic | Dobson Chiropractic Center PC | 5844 W State Rd, Suite 10, Demotte, IN 46310-9498 |
| Donald Dwayne Sebastian | Chiropractic | 510 N Halleck St, Demotte, IN 46310-9553 |
| City | DEMOTTE |
| Zip Code | 46310 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DEMOTTE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.