Stanley J Waters


Address: 1673 W Shoreline Dr, Suite 100, Boise, ID 83702-6749

Stanley J Waters (NPI# 1821046335, PAC ID# 7012990245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1821046335
PAC ID by PECOS 7012990245
Professional Enrollment ID I20040702000420
Full Name Stanley J Waters
Address 1673 W Shoreline Dr
Suite 100
Boise
ID 83702-6749
Gender M
Credential MD
Medical School MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK
Graduation Year 1988
Primary Specialty ORTHOPEDIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130006 ST LUKE'S REGIONAL MEDICAL CENTER
130063 TREASURE VALLEY HOSPITAL
130071 ST LUKE'S NAMPA MEDICAL CENTER

Other Locations

Address Phone Organization
1673 W Shoreline Dr, Suite 100, Boise, ID 83702-6749

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 1673 W SHORELINE DR
SUITE 100
City BOISE
State ID
Zip 83702-6749

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Name Specialty Organization Address
James D Hammer Physical Therapy Foothills Physical Therapy Pa 1673 W Shoreline Dr, Suite 230, Boise, ID 83702-6752
Danielle Renee Melton Physical Therapy Foothills Physical Therapy Pa 1673 W Shoreline Dr, Suite 230, Boise, ID 83702-6752
Lisa M Swan Physical Therapy Foothills Physical Therapy Pa 1673 W Shoreline Dr, Suite 230, Boise, ID 83702-6752
Jacob Crawford Physical Therapy Foothills Physical Therapy Pa 1673 W Shoreline Dr, Suite 230, Boise, ID 83702-6752
Tommy J Brunelle Physical Therapy Foothills Physical Therapy Pa 1673 W Shoreline Dr, Boise, ID 83702-6752
Tobie W Strong Physical Therapy Foothills Physical Therapy Pa 1673 W Shoreline Dr, Suite 230, Boise, ID 83702-6752

Physicians in the same zip code

Name Specialty Organization Address
Kim Kutzner Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
Stacey L Scanlan Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
Jody Alison Thatcher Bullard Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
Ali Lubbers Physical Therapy Physical Therapy At Thrive, LLC 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024
David A Teed Clinical Social Worker 1407 N 13th St, Boise, ID 83702-3531
Martha Ann Stacy Psychologist, Clinical 1718 W Jefferson St, Boise, ID 83702-3949
Renee Ours Bild Clinical Social Worker 1718 W Jefferson St, Boise, ID 83702-3949
Amber L Simonson Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
Todd Anthony Noble Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
Lauren M Huber Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
Find all physicians in zip 83702

Competitor

Search similar physicians

City BOISE
Zip Code 83702
Specialty ORTHOPEDIC SURGERY
City + Specialty BOISE + ORTHOPEDIC SURGERY

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Dataset Information

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.

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