Jenli Dawn Waters (NPI# 1720308166, PAC ID# 8729228135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1720308166 |
| PAC ID by PECOS | 8729228135 |
| Professional Enrollment ID | I20130709000056 |
| Full Name | Jenli Dawn Waters |
| Organization Legal Name | STANFORD HEALTH CARE |
| Address |
525 Plaza Dr Suite 307 Santa Maria CA 93454-6955 |
| Phone Number | 8054363458 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 6709797491 |
| Number of Group Practice Members | 1934 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050242 | DOMINICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 525 Plaza Dr, Suite 307, Santa Maria, CA 93454-6955 | 8054363458 | STANFORD HEALTH CARE |
| 300 Pasteur Dr, Stanford, CA 94305-2200 | 6507234000 | STANFORD HEALTH CARE |
| Organization Legal Name | STANFORD HEALTH CARE |
| Physicians | 2077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Charles Picel | Diagnostic Radiology | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Marci L Gottlieb | Internal Medicine | Stanford Health Care | 5800 Hollis St, Emeryville, CA 94608-2016 |
| Nancy Sinda Brook | Nurse Practitioner | Stanford Health Care | 420 Broadway St, Redwood City, CA 94063-3132 |
| Matthew A Wright | Psychiatry | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Angie Dee Murkins | Nurse Practitioner | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Jamshid Ghajar | Neurosurgery | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Ian Joseph Nelligan | Family Medicine | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Yu Kuang Lai | Internal Medicine | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Brock Aaron Martin | Pathology | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Meghan Brady Marmor | Pulmonary Disease | Stanford Health Care | 300 Pasteur Dr, Stanford, CA 94305-2200 |
| Street Address |
525 PLAZA DR SUITE 307 |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-6955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald D Shiell | Dermatology | J Robert West Md Inc | 525 Plaza Dr, Suite 200, Santa Maria, CA 93454-6954 |
| Natalie S Lui | Thoracic Surgery | Stanford Health Care | 525 Plaza Dr, Suite 307, Santa Maria, CA 93454-6955 |
| Laura S Rummel | Physician Assistant | J Robert West Md Inc | 525 Plaza Dr, Suite 200, Santa Maria, CA 93454-6954 |
| Michael W Moats | Dermatology | J Robert West Md Inc | 525 Plaza Dr, Suite 200, Santa Maria, CA 93454-6954 |
| Eric G Levy | Family Medicine | 525 Plaza Dr, Suite 300, Santa Maria, CA 93454-6955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane P O Brien | Certified Registered Nurse Anesthetist (crna) | 816 E Ehos Dr B, Santa Maria, CA 93454 | |
| Ramanand C Dandillaya | Neurology | 210 S Palisade S Dr, Suite 203, Santa Maria, CA 93454 | |
| Gayle L Ulshafer | Certified Registered Nurse Anesthetist | 837 Harper Ct, Santa Maria, CA 93454-2348 | |
| James Tahmisian | Psychologist, Clinical | 117 E Fesler St, Santa Maria, CA 93454-4404 | |
| Ron T Ng | Optometry | 610 E Chapel St, Suite C, Santa Maria, CA 93454-4522 | |
| Arlene C Gonzales | Family Medicine | 722 E Chapel St, Santa Maria, CA 93454-4524 | |
| Nathan Singer | Interventional Pain Management | 120 N Miller St A, Santa Maria, CA 93454-4557 | |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kenneth Ejiogu | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Santa Maria, CA 93454-4607 |
| Wanda J Spencer | Obstetrics/gynecology | 937 E Main St, 101 Women Care, Santa Maria, CA 93454-4607 | |
| Find all physicians in zip 93454 | |||
| City | SANTA MARIA |
| Zip Code | 93454 |
| Specialty | NEUROSURGERY |
| City + Specialty | SANTA MARIA + NEUROSURGERY |
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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.