John Waters (NPI# 1912132028, PAC ID# 9830372119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912132028 |
| PAC ID by PECOS | 9830372119 |
| Professional Enrollment ID | I20140806002747 |
| Full Name | John Waters |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES INC. |
| Address |
4031 Colonel Glenn Hwy Suite 133 Beavercreek Township OH 45431-2774 |
| Phone Number | 8552320644302 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688685654 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| 360076 | ATRIUM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 722 N Fairfield Rd, Beavercreek, OH 45434-5918 | 9372087000 | MVHE INC |
| 4031 Colonel Glenn Hwy, Suite 133, Beavercreek Township, OH 45431-2774 | 8552320644302 | MOBILE PHYSICIAN SERVICES INC. |
| Organization Legal Name | MOBILE PHYSICIAN SERVICES INC. |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron R Block | Family Medicine | Mobile Physician Services Inc. | 4031 Colonel Glenn Hwy, Suite 133, Beavercreek Township, OH 45431-2774 |
| Douglas P Nagle | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Angelia E Crozier | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| James K Condon | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Largo, FL 33771-1691 |
| Cheryl Izzo | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Robert Kleid | Physician Assistant | Mobile Physician Services Inc. | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 |
| Christi G Gagliano | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Eileen Claire Callaway | Family Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Jonathan Thomas Dismuke | Nurse Practitioner | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Peter Arthur Radice | Internal Medicine | Mobile Physician Services Inc. | 300 Lake Ne Ave, Suite 100, Largo, FL 33771-1691 |
| Street Address |
4031 COLONEL GLENN HWY SUITE 133 |
| City | BEAVERCREEK TOWNSHIP |
| State | OH |
| Zip | 45431-2774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron R Block | Family Medicine | Mobile Physician Services Inc. | 4031 Colonel Glenn Hwy, Suite 133, Beavercreek Township, OH 45431-2774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Thomas Daubenspeck | Chiropractic | 4141 Colonel Glenn Hwy, Suite 151, Beavercreek Township, OH 45431-1662 | |
| Paul A Speros | Optometry | 3360 Pentagon Blvd, Beavercreek, OH 45431-1702 | |
| Ananth Annamraju | Urology | Springfield Urology LLC | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Lisa Renee Vantrease | Family Medicine | Alliance Physicians Inc | 3525 Pentagon Blvd, Suite 101, Beavercreek, OH 45431-1705 |
| Patrick S Bendel | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Laura A Busteed | Nurse Practitioner | Alliance Physicians Inc | 3535 Pentagon Blvd, Suite 320, Beavercreek, OH 45431-1705 |
| Brent Alan Ferroni | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Roy W Haines | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| David R Grigg | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 |
| Amol Soin | Pain Management | Ohio Pain Clinic LLC | 3535 Pentagon Blvd, Suite 210, Beavercreek, OH 45431-1705 |
| Find all physicians in zip 45431 | |||
| City | BEAVERCREEK TOWNSHIP |
| Zip Code | 45431 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BEAVERCREEK TOWNSHIP + 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.